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1841055936
ANDRE LOVAN
GALT, CA
NPI
1841055936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 17341)
Enumeration Date
2024-02-16
Last Update Date
2024-02-23
Business Address
ANDRE LOVAN SUDRC
750 SPAANS DR STE F
GALT, CA 95632-8609
Phone number: 209-744-9099
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Mailing Address
ANDRE LOVAN SUDRC
768 GRIFFEY WAY
GALT, CA 95632-3065
Phone number: 916-612-2452
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