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1104951318
JAMES OWEN GLASS
BAKERSFIELD, CA
NPI
1104951318
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
-- JAMES OWEN GLASS
2901 S H ST
BAKERSFIELD, CA 93304-5602
Phone number: 661-398-4303
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Mailing Address
-- JAMES OWEN GLASS
6512 JETTA AVE
BAKERSFIELD, CA 93308-3833
Phone number: 661-387-1648
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