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1972784700
GAYLE SUSAN ANDERSON
SANTA ROSA, CA
NPI
1972784700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-11-20
Last Update Date
2007-11-20
Business Address
-- GAYLE SUSAN ANDERSON
2403 PROFESSIONAL DR SUITE 102
SANTA ROSA, CA 95403-3007
Phone number: 707-544-3295
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Mailing Address
-- GAYLE SUSAN ANDERSON
2403 PROFESSIONAL DR SUITE 102
SANTA ROSA, CA 95403-3007
Phone number: 707-544-3295
Copy
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