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1972032068
JENNA LEIGH BARRACLOUGH
HESPERIA, CA
NPI
1972032068
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Former Name
JENNA LEIGH GROOM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-06-12
Last Update Date
2017-06-12
Business Address
JENNA LEIGH BARRACLOUGH BS
11776 MARIPOSA RD
HESPERIA, CA 92345-1622
Phone number: 760-956-2462
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Mailing Address
JENNA LEIGH BARRACLOUGH BS
15000 CACTUS ST
HESPERIA, CA 92345-3802
Phone number: 760-680-3046
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