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1477732147
JONATHAN CRAIG DEAN
VISTA, CA
NPI
1477732147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 261QR0405X)
Enumeration Date
2007-10-30
Last Update Date
2008-10-07
Business Address
-- JONATHAN CRAIG DEAN Bs, CAS
504 W VISTA WAY
VISTA, CA 92083-5704
Phone number: 760-940-1836
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Mailing Address
-- JONATHAN CRAIG DEAN Bs, CAS
504 W VISTA WAY
VISTA, CA 92083-5704
Phone number: 760-940-1836
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