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1104006345
JENNIFER POILLOT
LANCASTER, CA
NPI
1104006345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-11-05
Last Update Date
2007-11-05
Business Address
-- JENNIFER POILLOT
44447 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-726-2630
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Mailing Address
-- JENNIFER POILLOT
44447 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-726-2630
Copy
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