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1861106825
GABRIEL MARTIN CHAVEZ
LANCASTER, CA
NPI
1861106825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1387000420)
Enumeration Date
2023-01-12
Last Update Date
2023-01-12
Business Address
GABRIEL MARTIN CHAVEZ RADT
1616 W AVENUE L
LANCASTER, CA 93534-6247
Phone number: 661-983-2492
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Mailing Address
GABRIEL MARTIN CHAVEZ RADT
1616 W AVENUE L
LANCASTER, CA 93534-6247
Phone number: 661-993-2492
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