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1225753205
JEFFREY L ALLEN
COSTA MESA, CA
NPI
1225753205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2022-10-11
Last Update Date
2022-10-11
Business Address
Mr. JEFFREY L ALLEN
3151 AIRWAY AVE
COSTA MESA, CA 92626-4607
Phone number: 949-234-8094
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Mailing Address
Mr. JEFFREY L ALLEN
3151 AIRWAY AVE
COSTA MESA, CA 92626-4607
Phone number: 949-234-8094
Copy
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