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1376974360
CLIFF GAHAGAN
SAN JOSE, CA
NPI
1376974360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-12-02
Last Update Date
2013-12-02
Business Address
-- CLIFF GAHAGAN
398 S 12TH ST
SAN JOSE, CA 95112-2228
Phone number: 408-297-7702
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Mailing Address
-- CLIFF GAHAGAN
398 S 12TH ST
SAN JOSE, CA 95112-2228
Phone number: 408-297-7702
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