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1154417251
JASON ROBERT CHISM
ESCONDIDO, CA
NPI
1154417251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-10-05
Last Update Date
2007-07-08
Business Address
-- JASON ROBERT CHISM
125 WEST MISSION AVE SUITE 103
ESCONDIDO, CA 92025
Phone number: 760-747-3424
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Mailing Address
-- JASON ROBERT CHISM
550 15TH ST UNIT 605
SAN DIEGO, CA 92101
Phone number: 619-964-3648
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