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1861743189
DONNA M. TIZENOR-TATE
LOS ANGELES, CA
NPI
1861743189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2012-09-26
Last Update Date
2013-06-10
Business Address
Ms. DONNA M. TIZENOR-TATE
5300 ANGELES VISTA BLVD.
LOS ANGELES, CA 90043
Phone number: 323-295-4555
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Mailing Address
Ms. DONNA M. TIZENOR-TATE
5300 ANGELES VISTA BLVD.
LOS ANGELES, CA 90043
Phone number: 323-295-4555
Copy
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