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1740704030
JOHNNY ROBERT SMILIE
LANCASTER, CA
NPI
1740704030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 8484-R)
Enumeration Date
2017-07-28
Last Update Date
2017-07-28
Business Address
JOHNNY ROBERT SMILIE AA/ AOD intern
44447 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-726-2630
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Mailing Address
JOHNNY ROBERT SMILIE AA/ AOD intern
44447 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-674-7503
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