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1013386002
LISA GAGE
BAKERSFIELD, CA
NPI
1013386002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 6833-R)
Enumeration Date
2015-09-19
Last Update Date
2016-04-06
Business Address
-- LISA GAGE
1018 21ST ST
BAKERSFIELD, CA 93301-4709
Phone number: 661-861-9967
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Mailing Address
-- LISA GAGE
1018 21ST ST
BAKERSFIELD, CA 93301-4709
Phone number: 661-861-9967
Copy
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