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1962879452
CANDACE CARGILL-FULLER
SAN PEDRO, CA
NPI
1962879452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-08-31
Last Update Date
2015-08-31
Business Address
-- CANDACE CARGILL-FULLER CADC II
590 W 8TH ST
SAN PEDRO, CA 90731-3120
Phone number: 310-704-1336
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Mailing Address
-- CANDACE CARGILL-FULLER CADC II
590 W 8TH ST
SAN PEDRO, CA 90731-3120
Phone number: 310-704-1336
Copy
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