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1235676354
CHARLES GOMEZ
UKIAH, CA
NPI
1235676354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-01-26
Last Update Date
2017-02-13
Business Address
-- CHARLES GOMEZ
350 E GOBBI ST
UKIAH, CA 95482-5511
Phone number: 707-472-2922
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Mailing Address
-- CHARLES GOMEZ
PO BOX 2077
UKIAH, CA 95482-2077
Phone number: 707-472-2922
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