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1811100944
GILROSS CALIXTO
LONG BEACH, CA
NPI
1811100944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 4175)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
Mr. GILROSS CALIXTO
2703 E 7TH ST
LONG BEACH, CA 90804-4708
Phone number: 156-243-3045
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Mailing Address
Mr. GILROSS CALIXTO
3001 MAINE AVE
LONG BEACH, CA 90806-1309
Phone number: 310-433-0454
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