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1073825469
JASON ALBERT HERRERA
ONTARIO, CA
NPI
1073825469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2010-07-14
Last Update Date
2010-07-14
Business Address
MR. JASON ALBERT HERRERA
125 W F ST
ONTARIO, CA 91762-3201
Phone number: 909-986-4550
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Mailing Address
MR. JASON ALBERT HERRERA
428 N ANGELENO AVE APT 3
AZUSA, CA 91702-3406
Phone number: 626-334-2653
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