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1407213432
LORELLE GROVE
UPLAND, CA
NPI
1407213432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-01-21
Last Update Date
2016-01-21
Business Address
-- LORELLE GROVE
916 N MOUNTAIN AVE STE A
UPLAND, CA 91786-3658
Phone number: 909-932-1069
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Mailing Address
-- LORELLE GROVE
916 N MOUNTAIN AVE STE A
UPLAND, CA 91786-3658
Phone number: 909-932-1069
Copy
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