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1609307602
NINA GIBSON
VICTORVILLE, CA
NPI
1609307602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1245550317)
Enumeration Date
2017-03-22
Last Update Date
2017-03-22
Business Address
-- NINA GIBSON
16248 VICTOR ST
VICTORVILLE, CA 92395-3934
Phone number: 760-243-7151
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Mailing Address
-- NINA GIBSON
16248 VICTOR ST
VICTORVILLE, CA 92395-3934
Phone number: 760-243-7151
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