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1114290251
ANTWAN MCDOUGAL
EL CAJON, CA
NPI
1114290251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-02-21
Last Update Date
2012-02-21
Business Address
-- ANTWAN MCDOUGAL
165 ROANOKE RD
EL CAJON, CA 92020-4015
Phone number: 619-588-3653
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Mailing Address
-- ANTWAN MCDOUGAL
165 ROANOKE RD
EL CAJON, CA 92020-4015
Phone number: 619-588-3653
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