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1215616768
ROBERT EUGENE GIDEON
SAN DIEGO, CA
NPI
1215616768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1455910122)
Enumeration Date
2023-07-12
Last Update Date
2023-07-12
Business Address
ROBERT EUGENE GIDEON
1501 IMPERIAL AVE
SAN DIEGO, CA 92101-7638
Phone number: 619-865-1454
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Mailing Address
ROBERT EUGENE GIDEON
1008 SEACOAST DR
IMPERIAL BEACH, CA 91932-2504
Phone number: 619-763-9051
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