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1083800122
JAN GIBBS
GREENBRAE, CA
NPI
1083800122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-09-21
Last Update Date
2007-09-21
Business Address
-- JAN GIBBS
1251 S ELISEO DR
GREENBRAE, CA 94904-2005
Phone number: 415-924-5995
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Mailing Address
-- JAN GIBBS
2 UPPERHILL RD
MILL VALLEY, CA 94941-1426
Phone number: 415-383-4529
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