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1285394114
JOHN WALTER MARSHALL
SAN DIEGO, CA
NPI
1285394114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-12-20
Last Update Date
2023-01-15
Business Address
JOHN WALTER MARSHALL SUDRC
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102
Phone number: 619-515-2300
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Mailing Address
JOHN WALTER MARSHALL SUDRC
6515 GLENROY ST
SAN DIEGO, CA 92120-2715
Phone number: 619-756-1537
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