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1407118110
TARENCE R MANN
HESPERIA, CA
NPI
1407118110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-06-10
Last Update Date
2012-06-10
Business Address
Mr. TARENCE R MANN
11776 MARIPOSA RD # 103
HESPERIA, CA 92345-1622
Phone number: 760-956-2462
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Mailing Address
Mr. TARENCE R MANN
13452 SUNNY RIDGE ST
HESPERIA, CA 92344-9443
Phone number: 760-981-9262
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