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1932874617
DAIKOTA LEWIS
SAN DIEGO, CA
NPI
1932874617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-08-13
Last Update Date
2021-08-13
Business Address
DAIKOTA LEWIS CNA
3511 INDIA ST
SAN DIEGO, CA 92103-4739
Phone number: 619-294-5760
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Mailing Address
DAIKOTA LEWIS CNA
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number:
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