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1356971337
ERSDALE JEROME LESESNE
EL CAJON, CA
NPI
1356971337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-01-18
Last Update Date
2024-01-31
Business Address
ERSDALE JEROME LESESNE
1664 BROADWAY
EL CAJON, CA 92021-5201
Phone number: 619-579-8685
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Mailing Address
ERSDALE JEROME LESESNE
4141 PACIFIC HWY
SAN DIEGO, CA 92110-2030
Phone number: 619-393-2000
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