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1033657721
STACEY BARNETT
COLTON, CA
NPI
1033657721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Aii063370722)
Enumeration Date
2017-02-02
Last Update Date
2023-03-17
Business Address
STACEY BARNETT
23950 PRADO LN
COLTON, CA 92324-9734
Phone number: 909-514-1958
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Mailing Address
STACEY BARNETT
23950 PRADO LN
COLTON, CA 92324-9734
Phone number: 909-514-1958
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