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1700187309
GARY ANDERSON
ANTIOCH, CA
NPI
1700187309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-11-12
Last Update Date
2010-11-12
Business Address
Mr. GARY ANDERSON
1915 D ST
ANTIOCH, CA 94509-2571
Phone number: 925-754-3673
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Mailing Address
Mr. GARY ANDERSON
1915 D ST
ANTIOCH, CA 94509-2571
Phone number: 925-754-3673
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