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1356888234
NED WALTER CORNELUS
LEMON GROVE, CA
NPI
1356888234
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-01-30
Last Update Date
2017-01-30
Business Address
Mr. NED WALTER CORNELUS
2049 SKYLINE DR
LEMON GROVE, CA 91945
Phone number: 619-465-7303
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Mailing Address
Mr. NED WALTER CORNELUS
1400 N JOHNSON AVE STE. 101
EL CAJON, CA 92020-1650
Phone number: 619-441-1493
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