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1952438889
THERON GLEN MCCLAIN
HEMET, CA
NPI
1952438889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2007-02-27
Last Update Date
2007-07-09
Business Address
THERON GLEN MCCLAIN SAC
960 N STATE ST STE B
HEMET, CA 92543-1473
Phone number: 951-652-3560
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Mailing Address
THERON GLEN MCCLAIN SAC
3708 MIRAGE DR
PERRIS, CA 92571-9416
Phone number: 951-443-2470
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