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1750636643
JOHN DAVID DEROSA
LONG BEACH, CA
NPI
1750636643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A7071011)
Enumeration Date
2012-07-17
Last Update Date
2012-07-17
Business Address
-- JOHN DAVID DEROSA B.S., CADCII
100 E MARKET ST
LONG BEACH, CA 90805-5924
Phone number: 562-428-4222
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Mailing Address
-- JOHN DAVID DEROSA B.S., CADCII
100 E MARKET ST
LONG BEACH, CA 90805-5924
Phone number: 562-428-4222
Copy
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