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1376700021
RENE GONZALEZ
SAN DIEGO, CA
NPI
1376700021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-05-20
Last Update Date
2008-05-20
Business Address
Mr. RENE GONZALEZ aod
10830 CARAVELLE PL
SAN DIEGO, CA 92124-2046
Phone number: 858-699-3401
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Mailing Address
Mr. RENE GONZALEZ aod
10830 CARAVELLE PL
SAN DIEGO, CA 92124-2046
Phone number: 858-699-3401
Copy
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