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1114237161
STEPHEN PEEVY
POMONA, CA
NPI
1114237161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA P1108261657)
Enumeration Date
2010-10-08
Last Update Date
2014-05-28
Business Address
-- STEPHEN PEEVY RAS
160 E HOLT AVE B
POMONA, CA 91767-5406
Phone number: 909-620-2521
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Mailing Address
-- STEPHEN PEEVY RAS
113 S FIRCROFT ST
WEST COVINA, CA 91791-2004
Phone number: 626-339-4590
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