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1831372747
JULIE NICOLE STASSART
SAN DIMAS, CA
NPI
1831372747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
2007-12-13
Last Update Date
2007-12-13
Business Address
-- JULIE NICOLE STASSART BA
762 CYPRESS ST
SAN DIMAS, CA 91773-3505
Phone number: 909-599-1227
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Mailing Address
-- JULIE NICOLE STASSART BA
762 CYPRESS ST
SAN DIMAS, CA 91773-3505
Phone number: 909-599-1227
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