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1811170228
DONALD WAYNE FLEETWOOD
ESCONDIDO, CA
NPI
1811170228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 01023139)
Enumeration Date
2007-12-07
Last Update Date
2007-12-07
Business Address
-- DONALD WAYNE FLEETWOOD CAS II
130 S FIG ST
ESCONDIDO, CA 92025-4401
Phone number: 760-741-5098
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Mailing Address
-- DONALD WAYNE FLEETWOOD CAS II
130 S FIG ST
ESCONDIDO, CA 92025-4401
Phone number: 760-741-5098
Copy
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