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1174906630
GUADALUPE PONCE
COVINA, CA
NPI
1174906630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA F5091083)
Enumeration Date
2015-07-01
Last Update Date
2015-07-01
Business Address
-- GUADALUPE PONCE
17727 E CYPRESS ST
COVINA, CA 91722-2634
Phone number: 626-967-2677
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Mailing Address
-- GUADALUPE PONCE
1263 LOWNES PL
POMONA, CA 91766-4214
Phone number: 909-455-7998
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