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1063770402
JUDY LYNN GAINES
ANAHEIM, CA
NPI
1063770402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-04-23
Last Update Date
2012-04-23
Business Address
-- JUDY LYNN GAINES
321 N STATE COLLEGE BLVD
ANAHEIM, CA 92806-2915
Phone number: 714-687-0077
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Mailing Address
-- JUDY LYNN GAINES
321 N STATE COLLEGE BLVD
ANAHEIM, CA 92806-2915
Phone number: 714-687-0077
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