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1386363307
MARK ANTHONY GLEASON
VALLEJO, CA
NPI
1386363307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 7453)
Enumeration Date
2022-08-23
Last Update Date
2022-08-23
Business Address
MARK ANTHONY GLEASON
419 PENNSYLVANIA ST
VALLEJO, CA 94590-6933
Phone number: 707-634-2715
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Mailing Address
MARK ANTHONY GLEASON
419 PENNSYLVANIA ST
VALLEJO, CA 94590-6933
Phone number: 707-634-2715
Copy
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