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1497099261
BRIAN SANTOS
POMONA, CA
NPI
1497099261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-11-19
Last Update Date
2012-11-19
Business Address
-- BRIAN SANTOS
4 VILLAGE LOOP
POMONA, CA 91766
Phone number: 909-865-0191
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Mailing Address
-- BRIAN SANTOS
4 VILLAGE LOOP RD
POMONA, CA 91766-4891
Phone number: 909-865-0191
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