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1447902507
THEODORE OWENS
LANCASTER, CA
NPI
1447902507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA R1453731221)
Enumeration Date
2022-01-20
Last Update Date
2022-01-20
Business Address
THEODORE OWENS
44459 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-417-6480
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Mailing Address
THEODORE OWENS
44459 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-417-6480
Copy
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