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1073709507
TINA K GILL
CERES, CA
NPI
1073709507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2007-09-18
Last Update Date
2007-09-20
Business Address
TINA K GILL
2829 ALPHONSE DR
CERES, CA 95307-2128
Phone number: 209-505-7368
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Mailing Address
TINA K GILL
2829 ALPHONSE DR
CERES, CA 95307-2128
Phone number: 209-505-7368
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