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1811679152
JACK VINCENT BYRD
OCEANSIDE, CA
NPI
1811679152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-08-04
Last Update Date
2023-08-04
Business Address
JACK VINCENT BYRD
3923 WARING RD STE D
OCEANSIDE, CA 92056-4457
Phone number: 760-726-4451
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Mailing Address
JACK VINCENT BYRD
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number:
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