JON PRATT GOSSETT

MERCED, CA
NPI1700078060
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  02-036699)
Enumeration Date2007-08-10
Last Update Date2007-08-10
Business Address
-- JON PRATT GOSSETT
1301 YOSEMITE PKWY
MERCED, CA 95340-5203
Phone number: 209-722-6335
Mailing Address
-- JON PRATT GOSSETT
1301 YOSEMITE PKWY
MERCED, CA 95340-5203
Phone number: 209-722-6335
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