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1619662079
JOHN JOSEPH GRAVELLE
SACRAMENTO, CA
NPI
1619662079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1498950323)
Enumeration Date
2023-04-10
Last Update Date
2023-04-10
Business Address
Mr. JOHN JOSEPH GRAVELLE
3600 POWER INN RD STE C
SACRAMENTO, CA 95826-3826
Phone number: 916-453-2708
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Mailing Address
Mr. JOHN JOSEPH GRAVELLE
3600 POWER INN RD STE C
SACRAMENTO, CA 95826-3826
Phone number: 916-453-2708
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