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1164688446
C N GORDON
SANTA CRUZ, CA
NPI
1164688446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-08-06
Last Update Date
2008-08-06
Business Address
-- C N GORDON
707 FAIR AVE
SANTA CRUZ, CA 95060-5828
Phone number: 831-427-1007
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Mailing Address
-- C N GORDON
707 FAIR AVE
SANTA CRUZ, CA 95060-5828
Phone number:
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