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1477762482
DOUGLAS WEBSTER TILLEY
SAN DIEGO, CA
NPI
1477762482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RW1098)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
Mr. DOUGLAS WEBSTER TILLEY
3954 MURPHY CANYON RD STE D202
SAN DIEGO, CA 92123-4420
Phone number: 858-505-8031
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Mailing Address
Mr. DOUGLAS WEBSTER TILLEY
9648 MARILLA DR APT 89
LAKESIDE, CA 92040-2835
Phone number: 619-312-0540
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