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1154897742
DANIEL GEORGE VANISI
SAN MATEO, CA
NPI
1154897742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-10-22
Last Update Date
2018-10-22
Business Address
DANIEL GEORGE VANISI
1752 COTTAGE GROVE AVE
SAN MATEO, CA 94401-3114
Phone number: 650-347-3239
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Mailing Address
DANIEL GEORGE VANISI
1752 COTTAGE GROVE AVE
SAN MATEO, CA 94401-3114
Phone number: 650-921-2713
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