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1114390564
GUSTAVE KRUMM
SACRAMENTO, CA
NPI
1114390564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA K0509301006)
Enumeration Date
2015-11-06
Last Update Date
2015-11-06
Business Address
-- GUSTAVE KRUMM
1550 JULIESSE AVE
SACRAMENTO, CA 95815-1803
Phone number: 916-921-6598
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Mailing Address
-- GUSTAVE KRUMM
PO BOX 160862
SACRAMENTO, CA 95816-0862
Phone number: 916-806-0286
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