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1780191445
LISA CLARK
POMONA, CA
NPI
1780191445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-01-03
Last Update Date
2018-01-03
Business Address
Mrs. LISA CLARK
845 E ARROW HWY
POMONA, CA 91767-2535
Phone number: 909-624-1233
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Mailing Address
Mrs. LISA CLARK
845 E ARROW HWY
POMONA, CA 91767-2535
Phone number: 909-624-1233
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