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1164934766
IGSEL JASSO
POMONA, CA
NPI
1164934766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-11-04
Last Update Date
2017-11-04
Business Address
IGSEL JASSO
845 E ARROW HWY
POMONA, CA 91767-2535
Phone number: 909-624-1233
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Mailing Address
IGSEL JASSO
845 E ARROW HWY
POMONA, CA 91767-2535
Phone number:
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