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1336906502
WILLIAM DOMINIC DE LA ROSA
OCEANSIDE, CA
NPI
1336906502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 17438)
Enumeration Date
2024-03-04
Last Update Date
2024-03-04
Business Address
WILLIAM DOMINIC DE LA ROSA SUDRC
3230 WARING CT STE A
OCEANSIDE, CA 92056-4509
Phone number: 760-305-7528
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Mailing Address
WILLIAM DOMINIC DE LA ROSA SUDRC
3230 WARING CT STE A
OCEANSIDE, CA 92056-4509
Phone number: 760-305-7528
Copy
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