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1023168937
GERRY DALE BLASINGAME
REDDING, CA
NPI
1023168937
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 24816)
Enumeration Date
2007-01-11
Last Update Date
2008-10-22
Business Address
MR. GERRY DALE BLASINGAME MA, LMFT
3161 BECHELLI LANE SUITE 201B
REDDING, CA 96002
Phone number: 530-222-9225
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Mailing Address
MR. GERRY DALE BLASINGAME MA, LMFT
3161 BECHELLI LANE SUITE 201B
REDDING, CA 96002
Phone number: 530-222-9225
Copy
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