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1891520748
DESIMAN DWAYNE MILLER
SAN DIEGO, CA
NPI
1891520748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1557150424)
Enumeration Date
2024-09-02
Last Update Date
2024-09-02
Business Address
DESIMAN DWAYNE MILLER
1530 DALE ST
SAN DIEGO, CA 92102-1519
Phone number: 619-915-5710
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Mailing Address
DESIMAN DWAYNE MILLER
1530 DALE ST
SAN DIEGO, CA 92102-1519
Phone number:
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