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1942894621
MICHAEL R GATES
SANTA CRUZ, CA
NPI
1942894621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA R1373181219)
Enumeration Date
2021-02-24
Last Update Date
2021-02-24
Business Address
MICHAEL R GATES
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060-2178
Phone number: 831-469-1700
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Mailing Address
MICHAEL R GATES
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060-2178
Phone number: 831-469-1700
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