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1336308154
GILBERT J. BLACKSMITH
OAKLAND, CA
NPI
1336308154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-06-06
Last Update Date
2008-06-06
Business Address
Mr. GILBERT J. BLACKSMITH
1124 INTERNATIONAL BLVD
OAKLAND, CA 94606-4331
Phone number: 510-533-0800
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Mailing Address
Mr. GILBERT J. BLACKSMITH
1407 2ND AVE APARTMENT # 5
OAKLAND, CA 94606-1726
Phone number:
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