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1265742209
GILBERT WAYNE HEDGPETH
LOS ANGELES, CA
NPI
1265742209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-10-08
Last Update Date
2010-10-08
Business Address
-- GILBERT WAYNE HEDGPETH
4715 CRENSHAW BLVD
LOS ANGELES, CA 90043-1233
Phone number: 323-244-5677
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Mailing Address
-- GILBERT WAYNE HEDGPETH
4520 DON TIMOTEO DR
LOS ANGELES, CA 90008-4113
Phone number:
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