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1487928719
ERIC JESSE DEANDA
COLTON, CA
NPI
1487928719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-03-05
Last Update Date
2012-03-05
Business Address
Mr. ERIC JESSE DEANDA B.A.
790 VIA LATA STE 300
COLTON, CA 92324-3978
Phone number: 909-433-0445
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Mailing Address
Mr. ERIC JESSE DEANDA B.A.
790 VIA LATA STE 300
COLTON, CA 92324-3978
Phone number: 909-433-0445
Copy
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