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1003632092
JOSE CARLOS GOMEZ
OAKLAND, CA
NPI
1003632092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1585731024)
Enumeration Date
2024-11-25
Last Update Date
2024-11-25
Business Address
Mr. JOSE CARLOS GOMEZ
1315 FRUITVALE AVE
OAKLAND, CA 94601-2927
Phone number: 510-300-3170
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Mailing Address
Mr. JOSE CARLOS GOMEZ
1315 FRUITVALE AVE
OAKLAND, CA 94601-2927
Phone number: 510-300-3170
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