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Individual

GABRIEL OHLSSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1150 KING RD40, #152, SAN JOSE, CA 95122
(408) 622-9222
Mailing address
1150 KING RD40, #152, SAN JOSE, CA 95122
(408) 622-9222

Taxonomy

Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
RBT24342989
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1184296154
ANGEL BEHAVIORAL PATH
CA
Enumeration date
05/28/2025
Last updated
05/28/2025
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