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1720177645
GORDON F SHRADER
HONOLULU, HI
NPI
1720177645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NV 114L)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
Mr. GORDON F SHRADER LADC
459 PATTERSON RD
HONOLULU, HI 96819-1522
Phone number: 808-935-3781
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Mailing Address
Mr. GORDON F SHRADER LADC
459 PATTERSON RD
HONOLULU, HI 96819-1522
Phone number: 808-935-3781
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