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1831470038
ANTHONY TUCKER
EL CAJON, CA
NPI
1831470038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 01-886446)
Enumeration Date
2011-08-31
Last Update Date
2019-12-04
Business Address
ANTHONY TUCKER CAS
234 N MAGNOLIA AVE
EL CAJON, CA 92020-3906
Phone number: 619-579-8373
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Mailing Address
ANTHONY TUCKER CAS
234 N MAGNOLIA AVE
EL CAJON, CA 92020-3906
Phone number: 619-579-8373
Copy
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