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1558956607
GERMAN CORONA VILLAGOMEZ
ESCONDIDO, CA
NPI
1558956607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA D4081577)
Enumeration Date
2021-03-01
Last Update Date
2021-03-01
Business Address
Mr. GERMAN CORONA VILLAGOMEZ RADT
737 E GRAND AVE
ESCONDIDO, CA 92025-4404
Phone number: 760-745-8478
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Mailing Address
Mr. GERMAN CORONA VILLAGOMEZ RADT
737 E GRAND AVE
ESCONDIDO, CA 92025-4404
Phone number: 760-745-8478
Copy
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