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1346925401
JERMAINE W WOODARD
ONTARIO, CA
NPI
1346925401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-06-16
Last Update Date
2023-06-16
Business Address
JERMAINE W WOODARD
3286 E GUASTI RD STE 100
ONTARIO, CA 91761-8646
Phone number: 909-906-9844
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Mailing Address
JERMAINE W WOODARD
612 PINE AVE
REDLANDS, CA 92373-4632
Phone number: 562-708-8322
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