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1063711299
EDMOND GAPUSAN
SANTA CRUZ, CA
NPI
1063711299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2011-03-28
Last Update Date
2011-03-28
Business Address
Mr. EDMOND GAPUSAN
470 ASSEMBLY AVE
SANTA CRUZ, CA 95062-3939
Phone number: 559-892-5674
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Mailing Address
Mr. EDMOND GAPUSAN
470 ASSEMBLY AVE
SANTA CRUZ, CA 95062-3939
Phone number:
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