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1851457022
RAUL WYBO-GILBERT
CLEARLAKE, CA
NPI
1851457022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA a 5035)
Enumeration Date
2006-12-29
Last Update Date
2007-07-08
Business Address
-- RAUL WYBO-GILBERT
7000 S CENTER DR
CLEARLAKE, CA 95422-8131
Phone number: 707-994-6494
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Mailing Address
-- RAUL WYBO-GILBERT
991 PARALLEL DR
LAKEPORT, CA 95453-5720
Phone number:
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