JACK GARY GOLLA

CARSON CITY, NV
NPI1780985721
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
(Licence: NV  FF467210)
Enumeration Date2010-11-08
Last Update Date2010-11-08
Business Address
Mr. JACK GARY GOLLA QBA
670 WASHOE DR
CARSON CITY, NV 89704-9528
Phone number: 775-849-3165
Mailing Address
Mr. JACK GARY GOLLA QBA
670 WASHOE DR
CARSON CITY, NV 89704-9528
Phone number: 775-849-3165
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