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1801531538
TANNER COONE
SAN DIEGO, CA
NPI
1801531538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1461280322)
Enumeration Date
2022-04-27
Last Update Date
2022-04-27
Business Address
TANNER COONE RADT 1
4141 PACIFIC HWY
SAN DIEGO, CA 92110-2030
Phone number: 619-393-2052
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Mailing Address
TANNER COONE RADT 1
4320 TRIAS ST
SAN DIEGO, CA 92103-1127
Phone number: 254-299-7555
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