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1316432552
KEVIN D. SURATT
SAN DIEGO, CA
NPI
1316432552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA LCi04490315)
Enumeration Date
2018-06-29
Last Update Date
2018-06-29
Business Address
KEVIN D. SURATT LAADC-CA
726 F ST FL 2
SAN DIEGO, CA 92101-6303
Phone number: 619-239-9691
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Mailing Address
KEVIN D. SURATT LAADC-CA
1081 CAMINO DEL RIO S STE 129
SAN DIEGO, CA 92108-3544
Phone number: 619-297-5131
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