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1598281065
LANETTE GORDON
FORT BRAGG, CA
NPI
1598281065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-08-16
Last Update Date
2017-08-30
Business Address
LANETTE GORDON
544 S MAIN ST # B
FORT BRAGG, CA 95437-5107
Phone number: 707-961-0308
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Mailing Address
LANETTE GORDON
PO BOX 2077
UKIAH, CA 95482-2077
Phone number: 707-467-2010
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