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1629371232
DURELL ANTHONY
SAN DIEGO, CA
NPI
1629371232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-12-21
Last Update Date
2010-12-21
Business Address
-- DURELL ANTHONY
4309 3RD AVE
SAN DIEGO, CA 92103-1407
Phone number: 619-692-0777
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Mailing Address
-- DURELL ANTHONY
4309 3RD AVE
SAN DIEGO, CA 92103-1407
Phone number: 619-692-0777
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