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1164910980
JENNIFER FANG
SAN JOSE, CA
NPI
1164910980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2018-04-26
Last Update Date
2021-02-23
Business Address
JENNIFER FANG
6203 SAN IGNACIO AVE STE 150
SAN JOSE, CA 95119-1371
Phone number: 408-284-9080
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Mailing Address
JENNIFER FANG
6203 SAN IGNACIO AVE STE 150
SAN JOSE, CA 95119-1371
Phone number: 408-284-9080
Copy
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