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1033418371
SEAN ANDREW GAMBOA
EL CAJON, CA
NPI
1033418371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-03-25
Last Update Date
2011-03-25
Business Address
-- SEAN ANDREW GAMBOA
1385 N JOHNSON AVE 111
EL CAJON, CA 92020-1660
Phone number: 619-441-2493
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Mailing Address
-- SEAN ANDREW GAMBOA
1385 N JOHNSON AVE 111
EL CAJON, CA 92020-1660
Phone number: 619-441-2493
Copy
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