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1407053382
JERRENCE OWENS
COVINA, CA
NPI
1407053382
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-07-02
Last Update Date
2007-07-08
Business Address
-- JERRENCE OWENS
1126 N GRAND AVE STE D
COVINA, CA 91724-1552
Phone number: 626-967-1667
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Mailing Address
-- JERRENCE OWENS
1126 N GRAND AVE STE D
COVINA, CA 91724-1552
Phone number:
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