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1487226015
MISTY OTTING
POMONA, CA
NPI
1487226015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1426570421)
Enumeration Date
2021-07-13
Last Update Date
2021-07-13
Business Address
MISTY OTTING
2180 VALLEY BLVD
POMONA, CA 91768-3325
Phone number: 909-865-2336
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Mailing Address
MISTY OTTING
2180 VALLEY BLVD
POMONA, CA 91768-3325
Phone number: 909-865-2336
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