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1215056346
AUSTIN MICHAEL FISHER
SANTA CRUZ, CA
NPI
1215056346
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY MFN 52290)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
AUSTIN MICHAEL FISHER
1000A EMELINE AVE
SANTA CRUZ, CA 95060-1900
Phone number: 831-425-0112
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Mailing Address
AUSTIN MICHAEL FISHER
1000A EMELINE AVE
SANTA CRUZ, CA 95060-1900
Phone number: 831-425-0112
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