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1134378094
JOSE DEMETRIO SIC CUA
OAKLAND, CA
NPI
1134378094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2008-09-16
Last Update Date
2012-07-05
Business Address
Mr. JOSE DEMETRIO SIC CUA
1814 FRANKLIN ST FL 4
OAKLAND, CA 94612-3487
Phone number: 510-271-6077
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Mailing Address
Mr. JOSE DEMETRIO SIC CUA
1814 FRANKLIN ST FL 4
OAKLAND, CA 94612-3487
Phone number:
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