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1720487424
CONNIE CARRILLO
HESPERIA, CA
NPI
1720487424
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2014-08-19
Last Update Date
2014-08-19
Business Address
CONNIE CARRILLO
11776 MARIPOSA RD 103
HESPERIA, CA 92345-1622
Phone number: 760-956-2462
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Mailing Address
CONNIE CARRILLO
11776 MARIPOSA RD 103
HESPERIA, CA 92345-1622
Phone number: 760-956-2462
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