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1093414039
DEMOND LAMONT GIBSON
LOS ANGELES, CA
NPI
1093414039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 14783)
Enumeration Date
2023-02-28
Last Update Date
2023-02-28
Business Address
DEMOND LAMONT GIBSON
515 E 6TH ST
LOS ANGELES, CA 90021-1009
Phone number: 213-251-7612
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Mailing Address
DEMOND LAMONT GIBSON
515 E 6TH ST
LOS ANGELES, CA 90021-1009
Phone number: 213-251-7612
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