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1184177404
JAMES AUDIE WHITHAM
SAN DIEGO, CA
NPI
1184177404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-08-03
Last Update Date
2016-08-03
Business Address
-- JAMES AUDIE WHITHAM
1963 4TH AVE
SAN DIEGO, CA 92101
Phone number: 619-233-3432
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Mailing Address
-- JAMES AUDIE WHITHAM
1963 4TH AVE
SAN DIEGO, CA 92101
Phone number: 619-233-3432
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