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1386450096
CHRISTOPHER MATTHEW POULIN
SAN DIEGO, CA
NPI
1386450096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: R1563390624)
Enumeration Date
2024-12-06
Last Update Date
2024-12-06
Business Address
CHRISTOPHER MATTHEW POULIN
1530 DALE ST
SAN DIEGO, CA 92102-1519
Phone number: 619-915-5710
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Mailing Address
CHRISTOPHER MATTHEW POULIN
2980 CEDAR ST
SAN DIEGO, CA 92102-1599
Phone number: 619-915-5710
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