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1699331918
GREGORY SULLIVAN
OROVILLE, CA
NPI
1699331918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-05-13
Last Update Date
2019-05-13
Business Address
GREGORY SULLIVAN
2167 MONTGOMERY ST
OROVILLE, CA 95965-4945
Phone number: 530-854-4119
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Mailing Address
GREGORY SULLIVAN
PO BOX 2456
OROVILLE, CA 95965-2456
Phone number:
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