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1861888638
GUSTAVO CHAVEZ
SANTA MARIA, CA
NPI
1861888638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-04-08
Last Update Date
2015-04-08
Business Address
-- GUSTAVO CHAVEZ
1125 E CLARK AVE STE A2
SANTA MARIA, CA 93455-5192
Phone number: 805-739-1512
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Mailing Address
-- GUSTAVO CHAVEZ
1125 E CLARK AVE STE A2
SANTA MARIA, CA 93455-5192
Phone number: 805-739-1512
Copy
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