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1376219170
SIMONE RUTH HARKLESS
LANCASTER, CA
NPI
1376219170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-08-20
Last Update Date
2021-08-20
Business Address
SIMONE RUTH HARKLESS
44447 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 818-996-1051
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Mailing Address
SIMONE RUTH HARKLESS
44447 N. 10TH ST W
LANCASTER, CA 93534
Phone number: 818-996-1051
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