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1295590305
ANTONI GODBOLT
ESCONDIDO, CA
NPI
1295590305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 1902808744)
Enumeration Date
2024-02-19
Last Update Date
2024-02-19
Business Address
ANTONI GODBOLT SUDRC
737 E GRAND AVE
ESCONDIDO, CA 92025-4404
Phone number: 760-745-8478
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Mailing Address
ANTONI GODBOLT SUDRC
737 E GRAND AVE
ESCONDIDO, CA 92025-4404
Phone number: 760-745-8478
Copy
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