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1689121907
NICHOLE RENEE ALLEN
VICTORVILLE, CA
NPI
1689121907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1193050215)
Enumeration Date
2016-09-02
Last Update Date
2016-09-02
Business Address
Mrs. NICHOLE RENEE ALLEN
16428 VICTOR STREET
VICTORVILLE, CA 92395-3934
Phone number: 760-243-7151
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Mailing Address
Mrs. NICHOLE RENEE ALLEN
16428 VICTOR STREET
VICTORVILLE, CA 92395-3934
Phone number: 760-243-7151
Copy
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