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1306397260
ROGER DOUGLAS
OCEANSIDE, CA
NPI
1306397260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-10-17
Last Update Date
2016-10-17
Business Address
-- ROGER DOUGLAS
3923 WARING RD
OCEANSIDE, CA 92056-4457
Phone number: 760-726-4451
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Mailing Address
-- ROGER DOUGLAS
3923 WARING RD
OCEANSIDE, CA 92056-4457
Phone number: 760-726-4451
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