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1629667639
ANTOINE F ISSA
SAN DIEGO, CA
NPI
1629667639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2021-01-14
Last Update Date
2021-01-14
Business Address
MR. ANTOINE F ISSA
3511 INDIA ST
SAN DIEGO, CA 92103-4739
Phone number: 619-294-5760
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Mailing Address
MR. ANTOINE F ISSA
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number:
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