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1558967067
GABRIEL THOMAS SOUTH
BELMONT, CA
NPI
1558967067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-12-09
Last Update Date
2020-12-09
Business Address
GABRIEL THOMAS SOUTH
1241 IRWIN ST
BELMONT, CA 94002-2838
Phone number: 650-436-7728
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Mailing Address
GABRIEL THOMAS SOUTH
2251 PALM AVE
SAN MATEO, CA 94403-1814
Phone number: 650-513-6500
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