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1962836676
ORLANDO GILLAM
FRESNO, CA
NPI
1962836676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 510488527)
Enumeration Date
2013-08-29
Last Update Date
2013-08-29
Business Address
Mr. ORLANDO GILLAM
4991 E MCKINLEY AVE STE 112
FRESNO, CA 93727-1966
Phone number: 559-981-2143
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Mailing Address
Mr. ORLANDO GILLAM
4991 E MCKINLEY AVE STE 112
FRESNO, CA 93727-1966
Phone number: 559-981-2143
Copy
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