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1215494075
MICHAEL VITO PROMESSO
ESCONDIDO, CA
NPI
1215494075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-P1404240856)
Enumeration Date
2019-02-27
Last Update Date
2019-02-27
Business Address
Mr. MICHAEL VITO PROMESSO RASi,RADT
737 E GRAND AVE
ESCONDIDO, CA 92025-4404
Phone number: 760-745-8478
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Mailing Address
Mr. MICHAEL VITO PROMESSO RASi,RADT
737 E GRAND AVE
ESCONDIDO, CA 92025-4404
Phone number: 760-745-8478
Copy
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