LARRY JOSEPH GONSALVES

OCEANSIDE, CA
NPI1255661062
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-12-30
Last Update Date2010-01-07
Business Address
-- LARRY JOSEPH GONSALVES
2821 OCEANSIDE BLVD
OCEANSIDE, CA 92054-4800
Phone number: 760-721-2743
Mailing Address
-- LARRY JOSEPH GONSALVES
2821 OCEANSIDE BLVD
OCEANSIDE, CA 92054-4800
Phone number: 760-721-2743
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