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1427518075
TIM DEAK
SAN DIEGO, CA
NPI
1427518075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 7384)
Enumeration Date
2019-03-20
Last Update Date
2023-06-27
Business Address
TIM DEAK RADT-1
3767 CENTRAL AVE
SAN DIEGO, CA 92105-2599
Phone number: 619-278-0777
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Mailing Address
TIM DEAK RADT-1
4350 W OVERLOOK DR
SAN DIEGO, CA 92115-6115
Phone number: 619-871-7328
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