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1225612922
DE'RON HACKLER
SAN DIEGO, CA
NPI
1225612922
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-05-09
Last Update Date
2024-06-28
Business Address
DE'RON HACKLER
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number: 619-683-3100
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Mailing Address
DE'RON HACKLER
1400 13TH ST APT 216
IMPERIAL BEACH, CA 91932-3721
Phone number: 619-942-7070
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