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1184123051
JOHN DAVID MANLEY
SANTA CRUZ, CA
NPI
1184123051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-02-06
Last Update Date
2018-02-06
Business Address
JOHN DAVID MANLEY
200 7TH AVE STE 150
SANTA CRUZ, CA 95062-4669
Phone number: 831-462-1060
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Mailing Address
JOHN DAVID MANLEY
200 7TH AVE STE 150
SANTA CRUZ, CA 95062-4669
Phone number: 831-462-1060
Copy
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