Individual
LAURA J EARLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 E GILBERT ST, SAN BERNARDINO, CA 92415-8079
(909) 387-7200
Mailing address
820 E GILBERT ST, SAN BERNARDINO, CA 92415-8079
(909) 387-7200
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
11/09/2010
Last updated
09/28/2011
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