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1518700293
MASON POWELL
UPLAND, CA
NPI
1518700293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA R1563020624)
Enumeration Date
2024-06-18
Last Update Date
2024-06-18
Business Address
MASON POWELL
1260 E ARROW HWY BLDG E
UPLAND, CA 91786-4984
Phone number: 909-932-1069
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Mailing Address
MASON POWELL
1260 E ARROW HWY BLDG E
UPLAND, CA 91786-4984
Phone number:
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