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1033255047
JOHN KELLY TYNE
SAN FRANCISCO, CA
NPI
1033255047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
Mr. JOHN KELLY TYNE
1275 MISSION ST
SAN FRANCISCO, CA 94103-2705
Phone number: 415-321-3148
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Mailing Address
Mr. JOHN KELLY TYNE
1275 MISSION ST
SAN FRANCISCO, CA 94103-2705
Phone number: 415-321-3148
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