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1235539289
VICTORIA MARIE GAITAN
UKIAH, CA
NPI
1235539289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 145092 I)
Enumeration Date
2014-08-27
Last Update Date
2014-10-22
Business Address
-- VICTORIA MARIE GAITAN
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2618
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Mailing Address
-- VICTORIA MARIE GAITAN
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2618
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