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1114579786
CHARLES NEILL MUSSER
SAN DIEGO, CA
NPI
1114579786
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1347540519)
Enumeration Date
2019-07-12
Last Update Date
2019-07-12
Business Address
Mr. CHARLES NEILL MUSSER RADTI
1733 EUCLID AVE
SAN DIEGO, CA 92105-5414
Phone number: 619-263-0433
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Mailing Address
Mr. CHARLES NEILL MUSSER RADTI
1733 EUCLID AVE
SAN DIEGO, CA 92105-5414
Phone number: 619-263-0433
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