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1306516943
JOHN JASON MONTALVO
COLTON, CA
NPI
1306516943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-09-15
Last Update Date
2021-09-15
Business Address
JOHN JASON MONTALVO SUDCC
2275 E COOLEY DR
COLTON, CA 92324-6324
Phone number: 909-370-1777
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Mailing Address
JOHN JASON MONTALVO SUDCC
3167 CACTUS CT
HIGHLAND, CA 92346-1719
Phone number: 909-838-6633
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