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1881431534
LOGAN PETERSON
BLOOMINGTON, CA
NPI
1881431534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-07-10
Last Update Date
2024-07-10
Business Address
LOGAN PETERSON
10888 MAPLE AVE
BLOOMINGTON, CA 92316-2621
Phone number: 909-421-7120
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Mailing Address
LOGAN PETERSON
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2639
Phone number: 909-421-7120
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