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1033582796
ERIC BLANK
EL CAJON, CA
NPI
1033582796
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2015-11-03
Last Update Date
2015-11-03
Business Address
ERIC BLANK
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020-1649
Phone number: 619-440-4801
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Mailing Address
ERIC BLANK
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020-1649
Phone number: 619-440-4801
Copy
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