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1295185767
LORSE GILBERT
LEMON GROVE, CA
NPI
1295185767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-06-15
Last Update Date
2016-06-15
Business Address
-- LORSE GILBERT
1876 PRIMERA ST
LEMON GROVE, CA 91945-3911
Phone number: 858-380-8604
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Mailing Address
-- LORSE GILBERT
1876 PRIMERA ST
LEMON GROVE, CA 91945-3911
Phone number: 858-380-8604
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