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1518210632
DESMOND KENNETH MERAZ
UPLAND, CA
NPI
1518210632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A044260517)
Enumeration Date
2012-10-26
Last Update Date
2024-03-25
Business Address
DESMOND KENNETH MERAZ CADC-II
934 N MOUNTAIN AVE
UPLAND, CA 91786-3659
Phone number: 909-949-4667
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Mailing Address
DESMOND KENNETH MERAZ CADC-II
934 N MOUNTAIN AVE STE A-D
UPLAND, CA 91786-3659
Phone number: 909-949-4667
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