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1932227618
VICTOR JEROME ALLEN
COLTON, CA
NPI
1932227618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
-- VICTOR JEROME ALLEN CATC 051081
1076 SANTO ANTONIO DR SUITE B
COLTON, CA 92324-8103
Phone number: 909-433-9824
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Mailing Address
-- VICTOR JEROME ALLEN CATC 051081
901 E WASHINGTON ST APT # 431
COLTON, CA 92324-8133
Phone number: 909-783-6787
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