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1760824544
TANISHA GILMORE
COMPTON, CA
NPI
1760824544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-G1307181211)
Enumeration Date
2013-07-22
Last Update Date
2013-07-22
Business Address
-- TANISHA GILMORE
3209 N ALAMEDA ST STE C
COMPTON, CA 90222-1454
Phone number: 310-537-2273
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Mailing Address
-- TANISHA GILMORE
3209 N ALAMEDA ST STE C
COMPTON, CA 90222-1454
Phone number: 310-537-2273
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