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1134589369
MICHAEL DEMISSIE
SAN JOSE, CA
NPI
1134589369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-03-01
Last Update Date
2016-03-01
Business Address
-- MICHAEL DEMISSIE
59 CROCKER CT
SAN JOSE, CA 95111-4301
Phone number: 408-227-8660
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Mailing Address
-- MICHAEL DEMISSIE
5300 TERNER WAY APT.6202
SAN JOSE, CA 95136-4127
Phone number: 408-483-3042
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