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1861905754
AMANDO REY WHITE
LEMON GROVE, CA
NPI
1861905754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-11-14
Last Update Date
2017-11-14
Business Address
AMANDO REY WHITE
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-7303
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Mailing Address
AMANDO REY WHITE
1400 N JOHNSON AVE
EL CAJON, CA 92020-1650
Phone number: 619-442-0277
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