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1447657945
KELLY HURST
VICTORVILLE, CA
NPI
1447657945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA rw8615)
Enumeration Date
2014-11-26
Last Update Date
2014-11-26
Business Address
-- KELLY HURST
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-241-4917
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Mailing Address
-- KELLY HURST
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-241-4917
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