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1861619181
CHARLES M NALL
SAN DIEGO, CA
NPI
1861619181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
Mr. CHARLES M NALL
3940 HOME AVE
SAN DIEGO, CA 92105-5952
Phone number: 619-262-8000
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Mailing Address
Mr. CHARLES M NALL
2350 SAN DIEGO AVE APT K
SAN DIEGO, CA 92110-2846
Phone number: 619-581-2636
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