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1114703295
JOHN PEMBERTON
PRESCOTT, AZ
NPI
1114703295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: AZ Lmsw-20883)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2023-09-05
Last Update Date
2023-09-05
Business Address
JOHN PEMBERTON
711 S GRANITE ST
PRESCOTT, AZ 86303-4241
Phone number: 928-713-2167
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Mailing Address
JOHN PEMBERTON
9340 E RANCHO VISTA DR
PRESCOTT VALLEY, AZ 86314-7160
Phone number: 928-713-2167
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