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1841725694
CHRISTOPHER INCLAN
COVINA, CA
NPI
1841725694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-04-28
Last Update Date
2017-04-28
Business Address
-- CHRISTOPHER INCLAN
4626 N GRAND AVE
COVINA, CA 91724-2055
Phone number: 626-331-5316
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Mailing Address
-- CHRISTOPHER INCLAN
4626 NORTH GRAND AVE
COVINA, CA 91724
Phone number: 626-331-5316
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