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1992032858
DELANO HOMER SANDUSKY
SAN DIEGO, CA
NPI
1992032858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-11-12
Last Update Date
2009-11-12
Business Address
Mr. DELANO HOMER SANDUSKY
3969 4TH AVE SUITE 203
SAN DIEGO, CA 92103-3165
Phone number: 619-550-3420
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Mailing Address
Mr. DELANO HOMER SANDUSKY
3969 FOURTH AVE., SUITE 203
SAN DIEGO, CA 92103
Phone number: 619-550-3420
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