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1841472297
JIMMIE SPEED
PALM SPRINGS, CA
NPI
1841472297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-11-28
Last Update Date
2007-12-10
Business Address
-- JIMMIE SPEED
1330 N INDIAN CANYON DR
PALM SPRINGS, CA 92262-4880
Phone number: 760-322-9065
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Mailing Address
-- JIMMIE SPEED
1330 N INDIAN CANYON DR
PALM SPRINGS, CA 92262-4880
Phone number: 760-322-9065
Copy
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