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1902310881
HORACE ALLEN COPELAND
SAN DIEGO, CA
NPI
1902310881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R122217D116)
Enumeration Date
2017-11-29
Last Update Date
2017-11-29
Business Address
HORACE ALLEN COPELAND
2970 MARKET ST
SAN DIEGO, CA 92102-3241
Phone number: 619-236-9217
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Mailing Address
HORACE ALLEN COPELAND
2970 MARKET ST
SAN DIEGO, CA 92102-3241
Phone number: 619-236-9217
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