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1073954277
SERGIO RUIZ
SAN RAFAEL, CA
NPI
1073954277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: CA PCI 15)
Enumeration Date
2013-07-16
Last Update Date
2013-07-16
Business Address
SERGIO RUIZ MS, MDFT, PCI
171 CARLOS DR
SAN RAFAEL, CA 94903-2005
Phone number: 415-686-4069
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Mailing Address
SERGIO RUIZ MS, MDFT, PCI
171 CARLOS DR
SAN RAFAEL, CA 94903-2005
Phone number: 415-686-4069
Copy
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