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Individual

JESALYN J EATCHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6160 MISSION GORGE RD, SUITE 120, SAN DIEGO, CA 92120-3410
(619) 282-2232
Mailing address
1758 ORIOLE CT, CARLSBAD, CA 92011-4054

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
03/06/2007
Last updated
07/01/2008
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