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1528430022
MARTIN KIPP VONDERSAAR
SANTEE, CA
NPI
1528430022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-10-22
Last Update Date
2020-08-11
Business Address
Mr. MARTIN KIPP VONDERSAAR
10159 MISSION GORGE RD STE C
SANTEE, CA 92071-3857
Phone number: 619-579-0947
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Mailing Address
Mr. MARTIN KIPP VONDERSAAR
10159 MISSION GORGE RD STE C
SANTEE, CA 92071-3857
Phone number: 619-579-0947
Copy
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