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1215432570
CASEY R VAN OMMERING
SAN DIEGO, CA
NPI
1215432570
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2018-03-28
Last Update Date
2018-03-28
Business Address
CASEY R VAN OMMERING
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number: 619-683-3100
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Mailing Address
CASEY R VAN OMMERING
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number: 619-683-3100
Copy
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