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1003074899
CHARLES ALFONZO CASTOR-THOMAS
SAN JOSE, CA
NPI
1003074899
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-05-28
Last Update Date
2008-05-28
Business Address
Mr. CHARLES ALFONZO CASTOR-THOMAS
2221 ENBORG LN
SAN JOSE, CA 95128-2608
Phone number: 408-885-3227
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Mailing Address
Mr. CHARLES ALFONZO CASTOR-THOMAS
2221 ENBORG LN
SAN JOSE, CA 95128-2608
Phone number: 408-885-3227
Copy
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