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1902448822
KRYSTAL GLOWACK
SAN DIEGO, CA
NPI
1902448822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-10-11
Last Update Date
2019-10-11
Business Address
KRYSTAL GLOWACK
1315 25TH ST
SAN DIEGO, CA 92102-2107
Phone number: 619-233-0067
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Mailing Address
KRYSTAL GLOWACK
4545 ARIZONA ST APT 207
SAN DIEGO, CA 92116-5909
Phone number: 612-636-5548
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