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1073934774
WALTER STANLEY GLASS
SAN DIEGO, CA
NPI
1073934774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-12-23
Last Update Date
2013-12-23
Business Address
Mr. WALTER STANLEY GLASS
6193 WUNDERLIN AVE
SAN DIEGO, CA 92114-2434
Phone number: 619-578-2539
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Mailing Address
Mr. WALTER STANLEY GLASS
6193 WUNDERLIN AVE
SAN DIEGO, CA 92114-2434
Phone number: 619-578-2539
Copy
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