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1588337208
GARY SCOTT SHOWALTER
FOUNTAIN VALLEY, CA
NPI
1588337208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-07-28
Last Update Date
2021-10-05
Business Address
GARY SCOTT SHOWALTER
17837 SAN RAFAEL ST
FOUNTAIN VALLEY, CA 92708-5232
Phone number: 714-968-3907
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Mailing Address
GARY SCOTT SHOWALTER
27261 LAS RAMBLAS STE 220
MISSION VIEJO, CA 92691-6468
Phone number:
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