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1821878059
GAVIN KNOBLOCH
HANFORD, CA
NPI
1821878059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Ci37960323)
Enumeration Date
2023-10-04
Last Update Date
2023-10-04
Business Address
GAVIN KNOBLOCH CADC I Ci37960323
351 MALL DR
HANFORD, CA 93230-5950
Phone number: 559-978-0998
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Mailing Address
GAVIN KNOBLOCH CADC I Ci37960323
5754 W ELLERY AVE
FRESNO, CA 93722-3144
Phone number: 559-645-2882
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