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1508470261
GAVIN PAUL THOMPSON
REDDING, CA
NPI
1508470261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 11048)
Enumeration Date
2020-09-01
Last Update Date
2020-09-01
Business Address
GAVIN PAUL THOMPSON
1237 CALIFORNIA ST
REDDING, CA 96001-0618
Phone number: 530-243-7470
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Mailing Address
GAVIN PAUL THOMPSON
1237 CALIFORNIA ST
REDDING, CA 96001-0618
Phone number: 530-243-7470
Copy
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