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1235421397
GODWIN E IBE
LONG BEACH, CA
NPI
1235421397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-05-09
Last Update Date
2011-05-09
Business Address
-- GODWIN E IBE
3505 LONG BEACH BLVD # IF
LONG BEACH, CA 90807-3907
Phone number: 562-988-3436
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Mailing Address
-- GODWIN E IBE
3505 LONG BEACH BLVD # IF
LONG BEACH, CA 90807-3907
Phone number: 562-988-3436
Copy
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