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1609158419
DANA R AXELROD
VICTORVILLE, CA
NPI
1609158419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RW3672)
Enumeration Date
2011-09-16
Last Update Date
2011-09-16
Business Address
-- DANA R AXELROD
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-241-4917
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Mailing Address
-- DANA R AXELROD
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-241-4917
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