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1144393638
IVAN WILLIAM FOOTE
SAN JOSE, CA
NPI
1144393638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT36805)
Enumeration Date
2006-11-15
Last Update Date
2007-07-08
Business Address
Mr. IVAN WILLIAM FOOTE L.M.F.T.
232 E GISH RD
SAN JOSE, CA 95112-4706
Phone number: 408-876-4104
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Mailing Address
Mr. IVAN WILLIAM FOOTE L.M.F.T.
PO BOX 7814
SANTA CRUZ, CA 95061-7814
Phone number: 831-475-5826
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