KEITH GANZENMULLER

EL CAJON, CA
NPI1588017032
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-07-20
Last Update Date2016-07-20
Business Address
-- KEITH GANZENMULLER
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020-1649
Phone number: 619-440-4801
Mailing Address
-- KEITH GANZENMULLER
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020-1649
Phone number: 619-440-4801
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