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1912160888
ELIZABETH CONCEPCION POWELL
RIALTO, CA
NPI
1912160888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-07-09
Last Update Date
2008-07-09
Business Address
-- ELIZABETH CONCEPCION POWELL
850 E FOOTHILL BLVD
RIALTO, CA 92376-5230
Phone number: 909-421-9233
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Mailing Address
-- ELIZABETH CONCEPCION POWELL
850 E FOOTHILL BLVD
RIALTO, CA 92376-5230
Phone number: 909-421-9233
Copy
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