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1265728505
WILLIAM EDWAED WAINESS
EL CAJON, CA
NPI
1265728505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-06-24
Last Update Date
2011-06-24
Business Address
-- WILLIAM EDWAED WAINESS
550 FESLER ST SUITE G3
EL CAJON, CA 92020-1959
Phone number: 619-588-5361
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Mailing Address
-- WILLIAM EDWAED WAINESS
550 FESLER ST STE G-3
EL CAJON, CA 92020-1959
Phone number: 619-588-5361
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