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1790235109
JEROMY FORD
PERRIS, CA
NPI
1790235109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-10-10
Last Update Date
2017-01-19
Business Address
-- JEROMY FORD AOD/SUD
226 W. 4TH ST
PERRIS, CA 92570
Phone number: 951-602-5886
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Mailing Address
-- JEROMY FORD AOD/SUD
266 W 4TH ST
PERRIS, CA 92570-2011
Phone number: 951-956-5373
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