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1124449517
KELLEN JAMES MAGRUDER
EL CAJON, CA
NPI
1124449517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-01-02
Last Update Date
2015-05-29
Business Address
-- KELLEN JAMES MAGRUDER
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-442-0277
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Mailing Address
-- KELLEN JAMES MAGRUDER
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number:
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