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1982363446
DIVINA CAPOTE
SAN PEDRO, CA
NPI
1982363446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1452461221)
Enumeration Date
2021-12-13
Last Update Date
2021-12-13
Business Address
DIVINA CAPOTE
505 S PACIFIC AVE
SAN PEDRO, CA 90731-2656
Phone number: 310-519-8723
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Mailing Address
DIVINA CAPOTE
PO BOX 2743
SAN PEDRO, CA 90731-0182
Phone number: 310-519-8723
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