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1780215335
JACQUELINE GENTRY
HESPERIA, CA
NPI
1780215335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-02-03
Last Update Date
2020-02-12
Business Address
JACQUELINE GENTRY
11776 MARIPOSA RD
HESPERIA, CA 92345-1622
Phone number: 760-956-7542
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Mailing Address
JACQUELINE GENTRY
16065 ANDOVER DR
VICTORVILLE, CA 92394-1432
Phone number:
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