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1366859688
GARY DALE CROSSLIN
VAN NUYS, CA
NPI
1366859688
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-07-18
Last Update Date
2014-07-18
Business Address
-- GARY DALE CROSSLIN CADCA
6166 VESPER AVE
VAN NUYS, CA 91411-2851
Phone number: 818-997-0414
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Mailing Address
-- GARY DALE CROSSLIN CADCA
6166 VESPER AVE
VAN NUYS, CA 91411-2851
Phone number: 818-997-0414
Copy
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