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1841908183
JAMES LEONCE GIBSON
STOCKTON, CA
NPI
1841908183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 39007BN)
Enumeration Date
2022-11-07
Last Update Date
2022-11-07
Business Address
Mr. JAMES LEONCE GIBSON SUDRC
1981 CHEROKEE RD
STOCKTON, CA 95205-2720
Phone number: 209-870-6500
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Mailing Address
Mr. JAMES LEONCE GIBSON SUDRC
1981 CHEROKEE RD
STOCKTON, CA 95205-2720
Phone number: 209-870-6500
Copy
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