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1235441510
VERNON ALBERT HOLM
SAN DIMAS, CA
NPI
1235441510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 1367)
Enumeration Date
2010-07-02
Last Update Date
2010-07-02
Business Address
Mr. VERNON ALBERT HOLM
323 W 2ND ST
SAN DIMAS, CA 91773-2029
Phone number: 909-919-8081
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Mailing Address
Mr. VERNON ALBERT HOLM
323 W 2ND ST
SAN DIMAS, CA 91773-2029
Phone number: 909-919-8081
Copy
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