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1003363284
MICHAEL KOCH
CARLSBAD, CA
NPI
1003363284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A022080216)
Enumeration Date
2016-09-06
Last Update Date
2016-09-06
Business Address
-- MICHAEL KOCH CADCII, BSCJA, SAP
580 BEECH AVE STE B
CARLSBAD, CA 92008-1657
Phone number: 760-224-6631
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Mailing Address
-- MICHAEL KOCH CADCII, BSCJA, SAP
580 BEECH AVE STE B
CARLSBAD, CA 92008-1657
Phone number: 760-224-6631
Copy
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