LARRY GENE EIRVEN

SAN DIEGO, CA
NPI1679742936
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-02-20
Last Update Date2008-02-20
Business Address
-- LARRY GENE EIRVEN
227 PARDEE ST
SAN DIEGO, CA 92102-4425
Phone number: 619-239-6775
Mailing Address
-- LARRY GENE EIRVEN
227 PARDEE ST
SAN DIEGO, CA 92102-4425
Phone number: 619-239-6775
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