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1174163778
MUSTAPHA JOHN
YUCAIPA, CA
NPI
1174163778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2020-01-10
Last Update Date
2023-06-26
Business Address
MUSTAPHA JOHN
10776 FREMONT ST
YUCAIPA, CA 92399-9630
Phone number: 909-797-0114
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Mailing Address
MUSTAPHA JOHN
10776 FREMONT ST
YUCAIPA, CA 92399-9630
Phone number:
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