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1174706998
DEJUAN L VERRETT
LONG BEACH, CA
NPI
1174706998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-12-14
Last Update Date
2007-12-14
Business Address
-- DEJUAN L VERRETT
3125 E 7TH ST
LONG BEACH, CA 90804-4932
Phone number: 562-987-5742
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Mailing Address
-- DEJUAN L VERRETT
3125 E 7TH ST
LONG BEACH, CA 90804-4932
Phone number: 562-987-5742
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