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1396404729
CHARLES JUSTIN RODRIGUEZ
SAN DIEGO, CA
NPI
1396404729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-12-13
Last Update Date
2021-12-13
Business Address
CHARLES JUSTIN RODRIGUEZ
5933 LINNET ST
SAN DIEGO, CA 92114-4122
Phone number: 909-957-9305
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Mailing Address
CHARLES JUSTIN RODRIGUEZ
5933 LINNET ST
SAN DIEGO, CA 92114-4122
Phone number: 909-957-9305
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