JOHN MIRICK

SAN BERNARDINO, CA
NPI1588852370
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-10-05
Last Update Date2007-10-05
Business Address
-- JOHN MIRICK
2075 N ARROWHEAD AVE
SAN BERNARDINO, CA 92415-0001
Phone number: 909-881-0390
Mailing Address
-- JOHN MIRICK
2075 N ARROWHEAD AVE
SAN BERNARDINO, CA 92415-0001
Phone number: 909-881-0390
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