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1881971356
DENNISE R GIBSON
RICHMOND, CA
NPI
1881971356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-11-10
Last Update Date
2011-11-10
Business Address
Ms. DENNISE R GIBSON RAS
1313 CUTTING BLVD
RICHMOND, CA 94804-2554
Phone number: 510-232-0874
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Mailing Address
Ms. DENNISE R GIBSON RAS
1313 CUTTING BLVD
RICHMOND, CA 94804-2554
Phone number: 510-232-0874
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