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1609375989
JOHN ALEXANDER GRAY
SANTA FE SPRINGS, CA
NPI
1609375989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1282971117)
Enumeration Date
2018-02-01
Last Update Date
2018-02-01
Business Address
Mr. JOHN ALEXANDER GRAY
11015 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670-4601
Phone number: 562-906-2676
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Mailing Address
Mr. JOHN ALEXANDER GRAY
11015 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670-4601
Phone number: 562-906-2676
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