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1134545502
JACK THORNE
SANTA CLARITA, CA
NPI
1134545502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 122973)
Enumeration Date
2014-03-10
Last Update Date
2014-03-10
Business Address
MR. JACK THORNE CATC-1
24460 LYONS AVE
SANTA CLARITA, CA 91321-2347
Phone number: 661-253-9400
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Mailing Address
MR. JACK THORNE CATC-1
24460 LYONS AVE
SANTA CLARITA, CA 91321-2347
Phone number: 661-253-9400
Copy
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