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1598078412
DONNA LORRAINE BLANTON
COLTON, CA
NPI
1598078412
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA FACT 496)
Enumeration Date
2010-07-20
Last Update Date
2010-07-20
Business Address
Ms. DONNA LORRAINE BLANTON FACT
1076 SANTO ANTONIO DR SUITE B
COLTON, CA 92324-8103
Phone number: 909-433-9824
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Mailing Address
Ms. DONNA LORRAINE BLANTON FACT
1076 SANTO ANTONIO DR SUITE B
COLTON, CA 92324-8103
Phone number: 909-433-9824
Copy
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