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1912249749
TRACY R VARNADO
LOS ANGELES, CA
NPI
1912249749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-03-19
Last Update Date
2013-03-19
Business Address
-- TRACY R VARNADO
4715 CRENSHAW BLVD
LOS ANGELES, CA 90043-1233
Phone number: 323-988-3744
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Mailing Address
-- TRACY R VARNADO
1116 W 90TH ST APT 204
LOS ANGELES, CA 90044-3345
Phone number: 661-974-4385
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