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1790141208
CONNIE BAEZ
POMONA, CA
NPI
1790141208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA B0904280937)
Enumeration Date
2016-01-13
Last Update Date
2016-01-13
Business Address
-- CONNIE BAEZ
845 E ARROW HWY
POMONA, CA 91767-2535
Phone number: 909-624-1233
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Mailing Address
-- CONNIE BAEZ
845 E ARROW HWY
POMONA, CA 91767-2535
Phone number: 909-624-1233
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