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1386087880
GILBERT MORA
FULLERTON, CA
NPI
1386087880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-04-15
Last Update Date
2013-04-15
Business Address
Mr. GILBERT MORA
801 E CHAPMAN AVE 203
FULLERTON, CA 92831-3839
Phone number: 714-680-8268
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Mailing Address
Mr. GILBERT MORA
PO BOX 919
FULLERTON, CA 92836-0919
Phone number: 714-680-8268
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