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1093268500
SANDRA GOMEZ
SOUTH SAN FRANCISCO, CA
NPI
1093268500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 410023AN)
Enumeration Date
2016-08-01
Last Update Date
2016-08-01
Business Address
-- SANDRA GOMEZ
306 SPRUCE AVE
SOUTH SAN FRANCISCO, CA 94080-2741
Phone number: 650-589-9305
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Mailing Address
-- SANDRA GOMEZ
15 PACIFIC AVE
SAN BRUNO, CA 94066-1523
Phone number: 415-573-4254
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