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1508135716
ADAM CHARLES MAYNE
SAN DIEGO, CA
NPI
1508135716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2011-12-16
Last Update Date
2024-05-29
Business Address
ADAM CHARLES MAYNE
1260 MORENA BLVD STE 100
SAN DIEGO, CA 92110-3850
Phone number: 619-398-0355
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Mailing Address
ADAM CHARLES MAYNE
1260 MORENA BLVD STE 100
SAN DIEGO, CA 92110-3850
Phone number: 619-398-0355
Copy
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