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1952593063
ETTA MARIE JONES
VICTORVILLE, CA
NPI
1952593063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-08-13
Last Update Date
2007-08-13
Business Address
-- ETTA MARIE JONES CAS
16245 DESERT KNOLL DR
VICTORVILLE, CA 92395-4011
Phone number: 760-245-1997
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Mailing Address
-- ETTA MARIE JONES CAS
PO BOX 1461
VICTORVILLE, CA 92393-1461
Phone number: 760-245-1997
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