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1720645369
DAVID DEPUY LIESTMAN
SAN DIEGO, CA
NPI
1720645369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-05-20
Last Update Date
2019-05-20
Business Address
DAVID DEPUY LIESTMAN
1260 MORENA BLVD STE 100
SAN DIEGO, CA 92110-3850
Phone number: 619-398-0355
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Mailing Address
DAVID DEPUY LIESTMAN
1260 MORENA BLVD STE 100
SAN DIEGO, CA 92110-3850
Phone number: 619-398-0355
Copy
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