KENNETH RAY GATLIN

HONOLULU, HI
NPI1932351293
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-10-17
Last Update Date2008-10-17
Business Address
-- KENNETH RAY GATLIN CSAC
1301 PUNCHBOWL ST
HONOLULU, HI 96813-2402
Phone number: 808-547-4221
Mailing Address
-- KENNETH RAY GATLIN CSAC
1301 PUNCHBOWL ST
HONOLULU, HI 96813-2402
Phone number: 808-547-4221
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