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1699027342
MARTHA MARIE TUCKER
LA MESA, CA
NPI
1699027342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA P1011050238)
Enumeration Date
2012-10-04
Last Update Date
2012-10-04
Business Address
Mrs. MARTHA MARIE TUCKER RAS
4990 WILLIAMS AVE
LA MESA, CA 91942-7409
Phone number: 619-668-4200
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Mailing Address
Mrs. MARTHA MARIE TUCKER RAS
4990 WILLIAMS AVE
LA MESA, CA 91942-7409
Phone number: 619-668-4200
Copy
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