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1104218205
ALLEN W MCCLELLAN
HOLLISTER, CA
NPI
1104218205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-02-26
Last Update Date
2015-02-26
Business Address
Mr. ALLEN W MCCLELLAN
1131 SAN FELIPE RD
HOLLISTER, CA 95023-2800
Phone number: 831-636-4020
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Mailing Address
Mr. ALLEN W MCCLELLAN
1131 SAN FELIPE RD
HOLLISTER, CA 95023-2800
Phone number: 831-636-4020
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