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1790205615
JUANITA ALTAMIRANO
POMONA, CA
NPI
1790205615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-06-21
Last Update Date
2017-06-21
Business Address
Ms. JUANITA ALTAMIRANO
845 E ARROW HWY
POMONA, CA 91767-2535
Phone number: 909-624-1233
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Mailing Address
Ms. JUANITA ALTAMIRANO
543 E PASADENA ST
POMONA, CA 91767-4801
Phone number: 626-705-0127
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