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1255078614
OCTAVIA SAMUEL
OCEANSIDE, CA
NPI
1255078614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-05-17
Last Update Date
2022-05-17
Business Address
OCTAVIA SAMUEL
321 CASSIDY ST
OCEANSIDE, CA 92054-5314
Phone number: 760-721-2171
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Mailing Address
OCTAVIA SAMUEL
321 CASSIDY ST
OCEANSIDE, CA 92054-5314
Phone number: 760-721-2171
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