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1194028027
EMMETT HAZELWOOD
RIVERSIDE, CA
NPI
1194028027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-12-15
Last Update Date
2011-08-12
Business Address
-- EMMETT HAZELWOOD
3576 ARLINGTON AVE STE 102
RIVERSIDE, CA 92506-3907
Phone number: 951-782-9577
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Mailing Address
-- EMMETT HAZELWOOD
3576 ARLINGTON AVE STE 102
RIVERSIDE, CA 92506-3907
Phone number: 951-782-9577
Copy
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