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1689408700
GABRIEL MICHAEL LARA
ANAHEIM, CA
NPI
1689408700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-08-30
Last Update Date
2024-11-26
Business Address
GABRIEL MICHAEL LARA CATC III
1242 N GILBERT ST
ANAHEIM, CA 92801-1426
Phone number: 626-678-4830
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Mailing Address
GABRIEL MICHAEL LARA CATC III
1242 N GILBERT ST
ANAHEIM, CA 92801-1426
Phone number: 626-678-4830
Copy
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