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1043708951
RUDOLPH CHRISTOS TESCALLO
SANTA ROSA, CA
NPI
1043708951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2018-04-25
Last Update Date
2021-04-22
Business Address
RUDOLPH CHRISTOS TESCALLO
534 B ST
SANTA ROSA, CA 95401-5211
Phone number: 707-579-0465
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Mailing Address
RUDOLPH CHRISTOS TESCALLO
11 BRENGLE CT
PETALUMA, CA 94954-5844
Phone number: 707-849-1896
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