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1083206882
GREGORY MICHAEL FAUST
SANTA CRUZ, CA
NPI
1083206882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-02-03
Last Update Date
2021-02-03
Business Address
Mr. GREGORY MICHAEL FAUST
707 FAIR AVE
SANTA CRUZ, CA 95060-5828
Phone number: 831-427-1007
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Mailing Address
Mr. GREGORY MICHAEL FAUST
2020 17TH AVE # A
SANTA CRUZ, CA 95062-1808
Phone number: 831-359-1091
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