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1205493087
JACOB SCOTT PRATHER
EL CAJON, CA
NPI
1205493087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-05-28
Last Update Date
2019-05-28
Business Address
JACOB SCOTT PRATHER
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-440-4801
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Mailing Address
JACOB SCOTT PRATHER
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-440-4801
Copy
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