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1801086855
JULIO ANTONIO GOMEZ
OAKLAND, CA
NPI
1801086855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 61223)
Enumeration Date
2007-07-26
Last Update Date
2007-07-26
Business Address
Mr. JULIO ANTONIO GOMEZ
1319 FRUITVALE AVE
OAKLAND, CA 94601-2927
Phone number: 510-535-2303
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Mailing Address
Mr. JULIO ANTONIO GOMEZ
1319 FRUITVALE AVE
OAKLAND, CA 94601-2927
Phone number: 510-535-2303
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