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1891983680
SAMUEL SIMMONS
SAN BERNARDINO, CA
NPI
1891983680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-10-05
Last Update Date
2007-10-05
Business Address
-- SAMUEL SIMMONS
2075 N ARROWHEAD AVE
SAN BERNARDINO, CA 92415-0001
Phone number: 909-881-0390
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Mailing Address
-- SAMUEL SIMMONS
2075 N ARROWHEAD AVE
SAN BERNARDINO, CA 92415-0001
Phone number: 909-881-0390
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