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1053169680
ILAN PEREIRA-MARTINEZ
SAN DIEGO, CA
NPI
1053169680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 14087)
Enumeration Date
2024-05-08
Last Update Date
2024-05-08
Business Address
ILAN PEREIRA-MARTINEZ
4660 EL CAJON BLVD STE 210
SAN DIEGO, CA 92115-4466
Phone number: 619-597-7335
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Mailing Address
ILAN PEREIRA-MARTINEZ
7592 CHARMANT DR APT 2026
SAN DIEGO, CA 92122-5080
Phone number: 619-655-0174
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