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1467049965
DWAIN KLINE
WEST COVINA, CA
NPI
1467049965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 14343-RAC)
Enumeration Date
2020-12-30
Last Update Date
2021-01-13
Business Address
DWAIN KLINE
1825 E THELBORN ST
WEST COVINA, CA 91791-1442
Phone number: 626-915-3844
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Mailing Address
DWAIN KLINE
1825 E THELBORN ST
WEST COVINA, CA 91791-1442
Phone number:
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