GEOFF BLAYLOCK

SANTA ANA, CA
NPI1003093394
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-01-29
Last Update Date2008-01-29
Business Address
-- GEOFF BLAYLOCK
1905 COLLEGE AVE
SANTA ANA, CA 92706-2334
Phone number: 714-479-0120
Mailing Address
-- GEOFF BLAYLOCK
1905 COLLEGE AVE
SANTA ANA, CA 92706-2334
Phone number: 714-479-0120
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