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1245459809
IZETTA YVONNE STROUD
SAN DIEGO, CA
NPI
1245459809
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
-- IZETTA YVONNE STROUD
446 26TH ST
SAN DIEGO, CA 92102-3026
Phone number: 619-531-7095
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Mailing Address
-- IZETTA YVONNE STROUD
446 26TH ST
SAN DIEGO, CA 92102-3026
Phone number: 619-531-7095
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