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1851480016
GEORGINA R VITALE-HANSEN
FULLERTON, CA
NPI
1851480016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
Mrs. GEORGINA R VITALE-HANSEN
771 W ORANGETHORPE AVE
FULLERTON, CA 92832-2806
Phone number: 714-879-2741
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Mailing Address
Mrs. GEORGINA R VITALE-HANSEN
771 W ORANGETHORPE AVE
FULLERTON, CA 92832-2806
Phone number: 714-879-2741
Copy
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