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1114645017
KEVIN EDWARD CRADIC
SAN DIEGO, CA
NPI
1114645017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 15861-RAC)
Enumeration Date
2022-08-16
Last Update Date
2022-08-16
Business Address
KEVIN EDWARD CRADIC RAC
3544 30TH ST
SAN DIEGO, CA 92104-4120
Phone number: 619-515-2424
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Mailing Address
KEVIN EDWARD CRADIC RAC
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4541
Phone number: 619-515-2300
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