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1962069328
TIERRA S FORD
NATIONAL CITY, CA
NPI
1962069328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-05-21
Last Update Date
2019-05-21
Business Address
TIERRA S FORD
2414 HOOVER AVE
NATIONAL CITY, CA 91950-8581
Phone number: 619-336-1226
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Mailing Address
TIERRA S FORD
2436 NORTON AVE
KANSAS CITY, MO 64127-4433
Phone number:
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