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1376722280
GARY QUAN
SANTA CRUZ, CA
NPI
1376722280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2007-10-26
Last Update Date
2007-10-26
Business Address
GARY QUAN
707 FAIR AVE
SANTA CRUZ, CA 95060-5828
Phone number: 831-427-1007
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Mailing Address
GARY QUAN
411 NORTHLAKE DR APT 5
SAN JOSE, CA 95117-1381
Phone number: 408-931-1111
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