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1316240930
THERESA ANN HALCON
MORENO VALLEY, CA
NPI
1316240930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-12-21
Last Update Date
2011-01-10
Business Address
-- THERESA ANN HALCON
24384 SUNNYMEAD BLVD STE 240
MORENO VALLEY, CA 92553-7765
Phone number: 951-243-0303
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Mailing Address
-- THERESA ANN HALCON
24384 SUNNYMEAD BLVD STE 240
MORENO VALLEY, CA 92553-7765
Phone number: 951-243-0303
Copy
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