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1912421223
MANUEL JOHN BEDARD
SAN DIEGO, CA
NPI
1912421223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-07-28
Last Update Date
2023-09-07
Business Address
MANUEL JOHN BEDARD CATC
4141 PACIFIC HWY
SAN DIEGO, CA 92110-2030
Phone number: 619-393-2072
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Mailing Address
MANUEL JOHN BEDARD CATC
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number:
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