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1669718136
JOSEPH MARK GENTILE
SANTA CRUZ, CA
NPI
1669718136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA G1110092043)
Enumeration Date
2013-01-02
Last Update Date
2013-01-02
Business Address
-- JOSEPH MARK GENTILE
271 WATER ST
SANTA CRUZ, CA 95060-4009
Phone number: 831-427-5290
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Mailing Address
-- JOSEPH MARK GENTILE
271 WATER ST
SANTA CRUZ, CA 95060-4009
Phone number: 831-427-5290
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