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1568920858
JESSICA EDWEENA BARNES
WEST COVINA, CA
NPI
1568920858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-03-06
Last Update Date
2019-03-06
Business Address
JESSICA EDWEENA BARNES
2551 E LARKWOOD ST
WEST COVINA, CA 91791-2833
Phone number: 626-324-2612
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Mailing Address
JESSICA EDWEENA BARNES
2551 E LARKWOOD ST
WEST COVINA, CA 91791-2833
Phone number: 626-324-2612
Copy
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