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1194321307
SAMANTHA JELINE SONORA
WEST COVINA, CA
NPI
1194321307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-12-11
Last Update Date
2020-12-11
Business Address
SAMANTHA JELINE SONORA
1825 E THELBORN ST
WEST COVINA, CA 91791-1442
Phone number: 626-915-3844
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Mailing Address
SAMANTHA JELINE SONORA
1077 W CALLE DEL SOL APT 1
AZUSA, CA 91702-1746
Phone number: 904-699-8835
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