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1245668995
JASON GONG
CHESTER, PA
NPI
1245668995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-10-16
Last Update Date
2013-10-16
Business Address
-- JASON GONG ma
2600 W 9TH ST
CHESTER, PA 19013-2040
Phone number: 610-497-7200
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Mailing Address
-- JASON GONG ma
2600 W 9TH ST
CHESTER, PA 19013-2040
Phone number: 610-497-7200
Copy
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