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1699965756
DONNIE ROSE
VICTORVILLE, CA
NPI
1699965756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 360003HN)
Enumeration Date
2007-07-25
Last Update Date
2007-07-25
Business Address
-- DONNIE ROSE
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-241-4917
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Mailing Address
-- DONNIE ROSE
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number:
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