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1073114658
EDWARD ALLEN PALMER
HESPERIA, CA
NPI
1073114658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C2366374)
Enumeration Date
2020-11-02
Last Update Date
2020-11-02
Business Address
EDWARD ALLEN PALMER
11776 MARIPOSA RD
HESPERIA, CA 92345-1622
Phone number: 760-956-2462
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Mailing Address
EDWARD ALLEN PALMER
11776 MARIPOSA RD
HESPERIA, CA 92345-1622
Phone number: 760-956-2462
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