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1487226809
TONDA SHANAE MILLER
SAN DIEGO, CA
NPI
1487226809
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-07-14
Last Update Date
2021-07-14
Business Address
TONDA SHANAE MILLER
1127 S 38TH ST
SAN DIEGO, CA 92113-3210
Phone number: 619-262-4002
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Mailing Address
TONDA SHANAE MILLER
1127 S 38TH ST
SAN DIEGO, CA 92113-3210
Phone number: 619-262-4002
Copy
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