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1053808808
ANDREA LYNN CORNETT
SAN JOSE, CA
NPI
1053808808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A044440617)
Enumeration Date
2018-04-17
Last Update Date
2018-04-17
Business Address
ANDREA LYNN CORNETT
25 N 14TH ST
SAN JOSE, CA 95112-6204
Phone number: 408-569-2139
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Mailing Address
ANDREA LYNN CORNETT
25 N 14TH ST
SAN JOSE, CA 95112-6204
Phone number: 408-569-2139
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