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1033619309
TRACY LYNN LANDRY
CHULA VISTA, CA
NPI
1033619309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-02-13
Last Update Date
2018-02-13
Business Address
TRACY LYNN LANDRY
1180 THIRD AVE STE C3
CHULA VISTA, CA 91911-3139
Phone number: 619-691-8164
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Mailing Address
TRACY LYNN LANDRY
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number:
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