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1023539251
GREGORY PAUL WALSH
TARZANA, CA
NPI
1023539251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Ci5460216)
Enumeration Date
2017-06-28
Last Update Date
2017-06-28
Business Address
GREGORY PAUL WALSH
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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Mailing Address
GREGORY PAUL WALSH
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number:
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