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1073358289
JACOB SINGHAVONG
SAN DIMAS, CA
NPI
1073358289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2024-06-28
Last Update Date
2024-06-28
Business Address
JACOB SINGHAVONG
540 E FOOTHILL BLVD STE 101
SAN DIMAS, CA 91773-1251
Phone number: 626-779-8583
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Mailing Address
JACOB SINGHAVONG
12142 CENTRAL AVE # 177
CHINO, CA 91710-2420
Phone number:
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