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1902311855
JEFFREY ALLAN PROFF
YUCCA VALLEY, CA
NPI
1902311855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-12-13
Last Update Date
2017-12-13
Business Address
Mr. JEFFREY ALLAN PROFF
58945 BUSINESS CENTER DR STE J
YUCCA VALLEY, CA 92284-7310
Phone number: 760-369-1074
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Mailing Address
Mr. JEFFREY ALLAN PROFF
58945 BUSINESS CENTER DR STE J
YUCCA VALLEY, CA 92284-7310
Phone number: 760-369-1074
Copy
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