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1659610988
PHYLLIS PAMELA CALDERON
COVINA, CA
NPI
1659610988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-02-06
Last Update Date
2016-12-13
Business Address
-- PHYLLIS PAMELA CALDERON CAS
4626 N GRAND AVE
COVINA, CA 91724-2055
Phone number: 626-331-5316
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Mailing Address
-- PHYLLIS PAMELA CALDERON CAS
4626 N GRAND AVE
COVINA, CA 91724-2055
Phone number: 626-331-5316
Copy
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