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1164544698
JEROLD ROSENTHAL
MODESTO, CA
NPI
1164544698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC31748)
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
Mr. JEROLD ROSENTHAL M.F.T.
2020 COFFEE RD H-6
MODESTO, CA 95355-2427
Phone number: 209-522-6246
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Mailing Address
Mr. JEROLD ROSENTHAL M.F.T.
2020 COFFEE RD SUITE H-6
MODESTO, CA 95355-2427
Phone number: 209-522-6246
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