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1477078194
GARY GORDON NIMTZ
EL CAJON, CA
NPI
1477078194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-08-03
Last Update Date
2017-08-03
Business Address
Mr. GARY GORDON NIMTZ
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-442-0277
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Mailing Address
Mr. GARY GORDON NIMTZ
4575 REVILLO WAY
SAN DIEGO, CA 92115-4143
Phone number: 619-582-0962
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