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1992237507
KELLY TANACEA
SANTA ANA, CA
NPI
1992237507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2017-04-02
Last Update Date
2017-04-02
Business Address
-- KELLY TANACEA
3301 S BEAR ST 35F
SANTA ANA, CA 92704-7263
Phone number: 949-524-0706
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Mailing Address
-- KELLY TANACEA
3301 S BEAR ST 35F
SANTA ANA, CA 92704-7263
Phone number: 949-524-0706
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