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GABINO A GOMEZ-CANUL

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1174965933

Individual Registrant:
 GABINO A GOMEZ-CANUL 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
41945 BIG BEAR BLVD. SUITE 222 BIG BEAR LAKE, CA 92315-1927 US
Tel: 909-866-5070  Fax: --

Contact information for business:
PO BOX 1927  BIG BEAR LAKE, CA 92315-1927 US
Tel: --  Fax: --

Registration Information:
NPI: 1174965933
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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