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1326868902
DENNIS WAYNE BRIDWELL
SAN DIEGO, CA
NPI
1326868902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 19613)
Enumeration Date
2024-10-16
Last Update Date
2024-10-16
Business Address
Mr. DENNIS WAYNE BRIDWELL SUDRC
4161 MARLBOROUGH AVE
SAN DIEGO, CA 92105-1412
Phone number: 619-282-7274
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Mailing Address
Mr. DENNIS WAYNE BRIDWELL SUDRC
4161 MARLBOROUGH AVE
SAN DIEGO, CA 92105-1412
Phone number:
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