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1932613700
ANTHONY DURHAM
SAN DIEGO, CA
NPI
1932613700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-11-30
Last Update Date
2020-02-20
Business Address
Mr. ANTHONY DURHAM
2970 MARKET ST
SAN DIEGO, CA 92102-3241
Phone number: 619-236-9492
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Mailing Address
Mr. ANTHONY DURHAM
4660 EL CAJON BLVD STE 210
SAN DIEGO, CA 92115-4466
Phone number:
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