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1598399321
MICHAEL LOUIS EDERSON
ESCONDIDO, CA
NPI
1598399321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-03-02
Last Update Date
2020-03-02
Business Address
MICHAEL LOUIS EDERSON
737 E GRAND AVE
ESCONDIDO, CA 92025-4404
Phone number: 619-857-1314
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Mailing Address
MICHAEL LOUIS EDERSON
737 E GRAND AVE
ESCONDIDO, CA 92025-4404
Phone number: 619-857-1314
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