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1417622036
ROBERT EDMUND MAUTTE
SAN DIEGO, CA
NPI
1417622036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-08-16
Last Update Date
2021-08-16
Business Address
Mr. ROBERT EDMUND MAUTTE
4141 PACIFIC HWY
SAN DIEGO, CA 92110-2030
Phone number: 619-209-4691
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Mailing Address
Mr. ROBERT EDMUND MAUTTE
4141 PACIFIC HWY
SAN DIEGO, CA 92110-2030
Phone number: 619-209-4691
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