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1972806248
TINA WORDEN
FAIRFIELD, CA
NPI
1972806248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-12-08
Last Update Date
2010-12-08
Business Address
-- TINA WORDEN
1735 ENTERPRISE DR SUITE 105A
FAIRFIELD, CA 94533-6822
Phone number: 707-425-1799
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Mailing Address
-- TINA WORDEN
784 SUNSET AVE APARTMENT #2
SUISUN CITY, CA 94585-2086
Phone number: 707-718-7933
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