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1790135275
LAURA GOMEZ
SANTA ROSA, CA
NPI
1790135275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-06-15
Last Update Date
2016-06-15
Business Address
-- LAURA GOMEZ
3315 AIRWAY DR
SANTA ROSA, CA 95403-2005
Phone number: 707-523-2242
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Mailing Address
-- LAURA GOMEZ
3315 AIRWAY DR
SANTA ROSA, CA 95403-2005
Phone number: 707-523-2242
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