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1124310883
LAURA GORT
ATWATER, CA
NPI
1124310883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-05-12
Last Update Date
2011-05-12
Business Address
Mrs. LAURA GORT
508 MENDOCINO CT
ATWATER, CA 95301-4230
Phone number: 209-357-5261
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Mailing Address
Mrs. LAURA GORT
559 MENDOCINO CT
ATWATER, CA 95301-4230
Phone number: 209-357-5200
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