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1811317100
KHALIL MATEEN-FARUQ
SAN DIEGO, CA
NPI
1811317100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-04-24
Last Update Date
2014-04-24
Business Address
Mr. KHALIL MATEEN-FARUQ
4001 EL CAJON BLVD STE 206
SAN DIEGO, CA 92105-1111
Phone number: 619-280-2300
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Mailing Address
Mr. KHALIL MATEEN-FARUQ
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-442-0277
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