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1285211409
DARRYL STUBBLEFIELD
FONTANA, CA
NPI
1285211409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Aii16271220)
Enumeration Date
2021-03-24
Last Update Date
2021-03-24
Business Address
DARRYL STUBBLEFIELD
9603 KAISER CT
FONTANA, CA 92335-5834
Phone number: 323-522-1932
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Mailing Address
DARRYL STUBBLEFIELD
9603 KAISER CT
FONTANA, CA 92335-5834
Phone number: 323-522-1932
Copy
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