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Organization
PRO RECOVERY POWER
Active
Organization
PRO RECOVERY POWER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT GAMBILL (CEO)
(909) 600-1859
Entity
Organization
Contact information
Practice address
10130 FOOTHILL BLVD UNIT 107, RANCHO CUCAMONGA, CA 91730-3735
(909) 738-5771
Mailing address
10130 FOOTHILL BLVD UNIT 107, RANCHO CUCAMONGA, CA 91730-3735
(909) 738-5771
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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