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1881200590
SAMANTHA BLISS
BLOOMINGTON, CA
NPI
1881200590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-09-17
Last Update Date
2020-09-17
Business Address
SAMANTHA BLISS
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2639
Phone number: 909-265-8079
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Mailing Address
SAMANTHA BLISS
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2639
Phone number: 909-265-8079
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