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1821239278
LEWIS YOUNG
CHINO, CA
NPI
1821239278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 422032609S)
Enumeration Date
2009-03-16
Last Update Date
2009-03-16
Business Address
Mr. LEWIS YOUNG
5389 RIVERSIDE DR
CHINO, CA 91710-4252
Phone number: 909-762-1440
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Mailing Address
Mr. LEWIS YOUNG
5389 RIVERSIDE DR
CHINO, CA 91710-4252
Phone number:
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