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1992525760
DESHAWNE TYRONE THORNTON
ESCONDIDO, CA
NPI
1992525760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 16197)
Enumeration Date
2024-10-15
Last Update Date
2024-10-15
Business Address
DESHAWNE TYRONE THORNTON
550 W WASHINGTON AVE
ESCONDIDO, CA 92025-1643
Phone number: 760-489-6380
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Mailing Address
DESHAWNE TYRONE THORNTON
550 W WASHINGTON AVE
ESCONDIDO, CA 92025-1643
Phone number: 760-489-6380
Copy
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