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1932987161
GABRIELLE LORRAINE SHAW
ALISO VIEJO, CA
NPI
1932987161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-09-19
Last Update Date
2023-09-19
Business Address
-- GABRIELLE LORRAINE SHAW
5 MAREBLU
ALISO VIEJO, CA 92656-3014
Phone number: 949-643-6930
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Mailing Address
-- GABRIELLE LORRAINE SHAW
1601 W MACARTHUR BLVD APT 1M
SANTA ANA, CA 92704-7205
Phone number: 714-345-8679
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