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1215691589
VIVIAN M TRUSSO
SAN DIEGO, CA
NPI
1215691589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-10-23
Last Update Date
2021-10-23
Business Address
VIVIAN M TRUSSO
8665 GIBBS DR
SAN DIEGO, CA 92123-1747
Phone number: 858-384-6284
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Mailing Address
VIVIAN M TRUSSO
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number:
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