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1720306517
GWENDOLYN LOVE
SAN LEANDRO, CA
NPI
1720306517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-05-04
Last Update Date
2010-05-04
Business Address
-- GWENDOLYN LOVE
1403 164TH AVE
SAN LEANDRO, CA 94578-3123
Phone number: 510-481-8645
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Mailing Address
-- GWENDOLYN LOVE
1403 164TH AVE
SAN LEANDRO, CA 94578-3123
Phone number:
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