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1659564623
GARY JOHN DILLAHUNTY
VALLEJO, CA
NPI
1659564623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 101YA0400X)
Enumeration Date
2007-08-23
Last Update Date
2007-08-23
Business Address
GARY JOHN DILLAHUNTY
419 PENNSYLVANIA ST
VALLEJO, CA 94590-6933
Phone number: 707-643-2715
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Mailing Address
GARY JOHN DILLAHUNTY
121 YORKSHIRE CT APT.C
VALLEJO, CA 94591-6767
Phone number: 707-556-9410
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