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1518453711
DONALD BLAKE
EL CAJON, CA
NPI
1518453711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-07-11
Last Update Date
2018-07-11
Business Address
DONALD BLAKE
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-442-0277
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Mailing Address
DONALD BLAKE
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-442-0277
Copy
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