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1013434075
MELVIN LORANCE HURNDON
FONTANA, CA
NPI
1013434075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-08-29
Last Update Date
2022-07-21
Business Address
MELVIN LORANCE HURNDON
14050 CHERRY AVE # R58
FONTANA, CA 92337-0766
Phone number: 909-827-4754
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Mailing Address
MELVIN LORANCE HURNDON
14050 CHERRY AVE # R58
FONTANA, CA 92337-0766
Phone number: 909-827-4754
Copy
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