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1942646807
DEAN ALLEN SIDWELL
SAN DIEGO, CA
NPI
1942646807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 28377)
Enumeration Date
2013-05-20
Last Update Date
2013-05-22
Business Address
Mr. DEAN ALLEN SIDWELL
4930 BAJA CT
SAN DIEGO, CA 92115-2230
Phone number: 619-405-7410
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Mailing Address
Mr. DEAN ALLEN SIDWELL
4930 BAJA COURT
SAN DIEGO, CA 92115
Phone number: 619-405-7410
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