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1720496011
MALLORY LYNN GILMORE
OXNARD, CA
NPI
1720496011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-07-30
Last Update Date
2014-10-07
Business Address
Miss MALLORY LYNN GILMORE
2055 SAVIERS RD
OXNARD, CA 93033-3608
Phone number: 805-483-2253
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Mailing Address
Miss MALLORY LYNN GILMORE
3604 ROSALIE ST
SIMI VALLEY, CA 93063-2737
Phone number: 805-624-2835
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