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Organization summary

• NPI
  1619210291
• Name
  Jack Gaines A Professional Corp.
• Account Contact
  Jack Gaines
• Address
  4833 RUBIO AVE, ENCINO, CA, 91436-1118
• Phone
  818-981-4030
• Specialties
  Clinic/center, Adult Mental Health
• NPPES Last Updated
  2013-04-01

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