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1730639329
JONATHON GROGAN
FAIRFIELD, CA
NPI
1730639329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-10-07
Last Update Date
2016-10-07
Business Address
-- JONATHON GROGAN
2480 HILBORN RD
FAIRFIELD, CA 94534-1856
Phone number: 707-421-9700
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Mailing Address
-- JONATHON GROGAN
2480 HILBORN RD
FAIRFIELD, CA 94534-1856
Phone number: 707-421-9700
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