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1538719174
DELORES VON MIRBACH
SAN DIEGO, CA
NPI
1538719174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-09-16
Last Update Date
2019-09-16
Business Address
Ms. DELORES VON MIRBACH
4104 DELTA ST
SAN DIEGO, CA 92113-4113
Phone number: 619-264-0141
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Mailing Address
Ms. DELORES VON MIRBACH
4104 DELTA ST
SAN DIEGO, CA 92113-4113
Phone number: 619-264-0141
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