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1932351293
KENNETH RAY GATLIN
HONOLULU, HI
NPI
1932351293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-10-17
Last Update Date
2008-10-17
Business Address
-- KENNETH RAY GATLIN CSAC
1301 PUNCHBOWL ST
HONOLULU, HI 96813-2402
Phone number: 808-547-4221
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Mailing Address
-- KENNETH RAY GATLIN CSAC
1301 PUNCHBOWL ST
HONOLULU, HI 96813-2402
Phone number: 808-547-4221
Copy
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