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1053818435
IZAURA AZAMAT
SAN JOSE, CA
NPI
1053818435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-04-11
Last Update Date
2018-04-11
Business Address
Ms. IZAURA AZAMAT
1485 SARATOGA AVE STE 200
SAN JOSE, CA 95129-4965
Phone number: 877-991-0009
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Mailing Address
Ms. IZAURA AZAMAT
1485 SARATOGA AVE STE 200
SAN JOSE, CA 95129-4965
Phone number: 877-991-0009
Copy
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