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1770182917
ARLA PROVO
DESERT HOT SPRINGS, CA
NPI
1770182917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C14781214)
Enumeration Date
2020-10-19
Last Update Date
2020-10-19
Business Address
ARLA PROVO
13525 CIELO AZUL WAY
DESERT HOT SPRINGS, CA 92240-6235
Phone number: 760-329-4619
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Mailing Address
ARLA PROVO
13525 CIELO AZUL WAY
DESERT HOT SPRINGS, CA 92240-6235
Phone number: 760-329-4673
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