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1487788402
KELLY PAUL MINOR
SAN DIEGO, CA
NPI
1487788402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-14
Last Update Date
2011-08-29
Business Address
-- KELLY PAUL MINOR
6244 EL CAJON BLVD STE 15
SAN DIEGO, CA 92115-3918
Phone number: 619-287-8225
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Mailing Address
-- KELLY PAUL MINOR
6244 EL CAJON BLVD STE 15
SAN DIEGO, CA 92115-3918
Phone number: 619-287-8225
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