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1558907071
LAURA GORDON
LEMON GROVE, CA
NPI
1558907071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
LAURA GORDON
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-7303
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Mailing Address
LAURA GORDON
1400 N JOHNSON AVE
EL CAJON, CA 92020-1650
Phone number:
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