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1316377732
JUSTIN WORTMAN
YUCCA VALLEY, CA
NPI
1316377732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CA PCCI1586)
Enumeration Date
2013-11-21
Last Update Date
2015-01-28
Business Address
-- JUSTIN WORTMAN
58945 BUSINESS CENTER DR #D
YUCCA VALLEY, CA 92284-7307
Phone number: 760-228-9657
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Mailing Address
-- JUSTIN WORTMAN
3613 SAGE AVE
YUCCA VALLEY, CA 92284-1945
Phone number: 760-669-7079
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