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1467236281
GABRIEL ISAAC SAMARA
SANTA CRUZ, CA
NPI
1467236281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: CA MPSS-HXIWJU)
Enumeration Date
2023-08-22
Last Update Date
2023-08-22
Business Address
GABRIEL ISAAC SAMARA
1201 SHAFFER RD BLDG 1
SANTA CRUZ, CA 95060-5761
Phone number: 831-888-6007
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Mailing Address
GABRIEL ISAAC SAMARA
113 CYPRESS AVE APT B
SANTA CRUZ, CA 95062-3710
Phone number: 831-529-5034
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