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1376187542
MELISSA CAROL GONZALEZ
SAN DIEGO, CA
NPI
1376187542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2019-10-31
Last Update Date
2019-10-31
Business Address
MELISSA CAROL GONZALEZ SUDRC
3575 PERSHING AVE
SAN DIEGO, CA 92104-3413
Phone number: 619-294-4526
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Mailing Address
MELISSA CAROL GONZALEZ SUDRC
3575 PERSHING AVE
SAN DIEGO, CA 92104-3413
Phone number: 619-294-4526
Copy
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