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1881178788
FREDERICK GAITHER
SAN DIEGO, CA
NPI
1881178788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-09-18
Last Update Date
2018-09-18
Business Address
Mr. FREDERICK GAITHER
2970 MARKET ST
SAN DIEGO, CA 92102-3241
Phone number: 619-236-9492
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Mailing Address
Mr. FREDERICK GAITHER
2970 MARKET ST
SAN DIEGO, CA 92102-3241
Phone number:
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