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1083445845
TYRICO Z TROTTY
SAN DIEGO, CA
NPI
1083445845
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Former Name
TYRICO TYLER
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-08-12
Last Update Date
2024-08-12
Business Address
TYRICO Z TROTTY SUDCC IV
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110-4907
Phone number: 619-674-3302
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Mailing Address
TYRICO Z TROTTY SUDCC IV
570 RANCHEROS DR STE 200
SAN MARCOS, CA 92069-2963
Phone number: 760-277-1374
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