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1598367021
JUSTIN ROBERT SCOTKA
COVINA, CA
NPI
1598367021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-11-10
Last Update Date
2020-11-10
Business Address
JUSTIN ROBERT SCOTKA
4626 N GRAND AVE
COVINA, CA 91724-2055
Phone number: 626-331-5316
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Mailing Address
JUSTIN ROBERT SCOTKA
4626 N GRAND AVE
COVINA, CA 91724-2055
Phone number: 626-331-5316
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