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1124218250
HOLLIS COPELAND
RANCHO CUCAMONGA, CA
NPI
1124218250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C0504141347)
Enumeration Date
2007-07-25
Last Update Date
2007-07-25
Business Address
-- HOLLIS COPELAND R.A.S.i.
9375 ARCHIBALD AVE SUITE 204
RANCHO CUCAMONGA, CA 91730-5729
Phone number: 909-989-9724
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Mailing Address
-- HOLLIS COPELAND R.A.S.i.
9375 ARCHIBALD AVE SUITE 204
RANCHO CUCAMONGA, CA 91730-5729
Phone number: 909-989-9724
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