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1124168448
MICHAEL HALCOMB
RIALTO, CA
NPI
1124168448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
-- MICHAEL HALCOMB
850 E FOOTHILL BLVD
RIALTO, CA 92376-5230
Phone number: 909-421-4601
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Mailing Address
-- MICHAEL HALCOMB
850 E FOOTHILL BLVD
RIALTO, CA 92376-5230
Phone number:
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