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1538538269
WILLIAM A GOGGIN
GRASS VALLEY, CA
NPI
1538538269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-09-23
Last Update Date
2015-09-23
Business Address
-- WILLIAM A GOGGIN
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-271-1140
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Mailing Address
-- WILLIAM A GOGGIN
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-271-1140
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