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1528495280
MICHAEL WILLIAM GANTENBEIN
ORANGE, CA
NPI
1528495280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA CAADAC A3518587)
Enumeration Date
2013-09-26
Last Update Date
2013-09-26
Business Address
Mr. MICHAEL WILLIAM GANTENBEIN CADCII (A3518587)
265 SOUTH ANITA DRIVE ORANGE CA
ORANGE, CA 92868
Phone number: 714-978-1090
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Mailing Address
Mr. MICHAEL WILLIAM GANTENBEIN CADCII (A3518587)
5585 E PACIFIC COAST HIGHWAY UNIT 166
LONG BEACH, CA 90804
Phone number: 562-498-0768
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