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Individual

ANN SEMPLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11776 MARIPOSA RD, HESPERIA, CA 92345-1622
(760) 956-2462
(760) 956-7542
Mailing address
17740 LINDEN ST, HESPERIA, CA 92345-5422
(951) 219-2105

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1332461218
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor

Other

Enumeration date
01/23/2019
Last updated
09/12/2022
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