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1922294206
TANYA DISSELKOEN
SAN DIEGO, CA
NPI
1922294206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-09-19
Last Update Date
2007-09-19
Business Address
Mrs. TANYA DISSELKOEN
10717 CAMINO RUIZ SUITE 204
SAN DIEGO, CA 92126-2360
Phone number: 858-695-2211
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Mailing Address
Mrs. TANYA DISSELKOEN
10717 CAMINO RUIZ SUITE 204
SAN DIEGO, CA 92126-2360
Phone number: 858-695-2211
Copy
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