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1689188468
JOEL IGNACIO PROSPERO
ESCONDIDO, CA
NPI
1689188468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-11-30
Last Update Date
2017-11-30
Business Address
JOEL IGNACIO PROSPERO
200 E WASHINGTON AVE
ESCONDIDO, CA 92025-1806
Phone number: 760-420-6403
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Mailing Address
JOEL IGNACIO PROSPERO
1400 N JOHNSON AVE # SHE101
EL CAJON, CA 92020-1650
Phone number:
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