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1528236130
GRANT HANEY
POMONA, CA
NPI
1528236130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-02-16
Last Update Date
2008-02-16
Business Address
-- GRANT HANEY
558 N TOWNE AVE
POMONA, CA 91767-4826
Phone number: 909-622-2273
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Mailing Address
-- GRANT HANEY
558 N TOWNE AVE
POMONA, CA 91767-4826
Phone number:
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