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1861811143
GREG GATES
UKIAH, CA
NPI
1861811143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-04-15
Last Update Date
2017-04-20
Business Address
-- GREG GATES
780 S DORA ST
UKIAH, CA 95482-5348
Phone number: 707-472-2922
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Mailing Address
-- GREG GATES
PO BOX 2077
UKIAH, CA 95482-2077
Phone number: 707-467-2010
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