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1710543442
ISSELA ALICIA GONZALES
LEMON GROVE, CA
NPI
1710543442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-05-17
Last Update Date
2019-05-17
Business Address
ISSELA ALICIA GONZALES
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-7303
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Mailing Address
ISSELA ALICIA GONZALES
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-7303
Copy
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