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1598073165
JEFF HOLLOWAY
VAN NUYS, CA
NPI
1598073165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2010-09-16
Last Update Date
2010-09-16
Business Address
JEFF HOLLOWAY
15015 OXNARD ST
VAN NUYS, CA 91411-2613
Phone number: 818-787-4151
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Mailing Address
JEFF HOLLOWAY
3221 VINELAND AVE APT 45
BALDWIN PARK, CA 91706-5163
Phone number: 818-787-4151
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