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1902478472
SHERYL ANNE COSTA
APPLE VALLEY, CA
NPI
1902478472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 071379)
Enumeration Date
2021-07-14
Last Update Date
2021-07-14
Business Address
SHERYL ANNE COSTA AOD
21101 DALE EVANS PKWY
APPLE VALLEY, CA 92307-9356
Phone number: 760-961-6096
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Mailing Address
SHERYL ANNE COSTA AOD
21101 DALE EVANS PKWY
APPLE VALLEY, CA 92307-9356
Phone number: 760-243-3430
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