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1346625290
HEATHER FANKHAUSER
SAN DIEGO, CA
NPI
1346625290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA D2205948)
Enumeration Date
2015-07-21
Last Update Date
2015-07-21
Business Address
-- HEATHER FANKHAUSER RADT I
3340 KEMPER ST SUITE 105
SAN DIEGO, CA 92110-4906
Phone number: 619-523-8121
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Mailing Address
-- HEATHER FANKHAUSER RADT I
3340 KEMPER ST SUITE 105
SAN DIEGO, CA 92110-4906
Phone number: 619-523-8121
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