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1821387739
ANTHONY JOHN DEMANGOS
SAN DIEGO, CA
NPI
1821387739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-03-31
Last Update Date
2011-03-31
Business Address
Mr. ANTHONY JOHN DEMANGOS CATC
140 ARBOR DR
SAN DIEGO, CA 92103-2007
Phone number: 619-543-6095
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Mailing Address
Mr. ANTHONY JOHN DEMANGOS CATC
140 ARBOR DR
SAN DIEGO, CA 92103-2007
Phone number: 619-543-6095
Copy
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