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1255876538
JESSE WILSON
SAN DIEGO, CA
NPI
1255876538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-12-22
Last Update Date
2016-12-22
Business Address
-- JESSE WILSON
1545 HOTEL CIR S STE 300
SAN DIEGO, CA 92108-3412
Phone number: 619-550-3959
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Mailing Address
-- JESSE WILSON
1545 HOTEL CIR S STE 300
SAN DIEGO, CA 92108-3412
Phone number: 619-550-3959
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