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1174397699
JOHN OMAR GONZALEZ
SAN JOSE, CA
NPI
1174397699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2023-11-15
Last Update Date
2023-11-15
Business Address
JOHN OMAR GONZALEZ
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112-5865
Phone number: 408-938-2113
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Mailing Address
JOHN OMAR GONZALEZ
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112-5865
Phone number: 408-938-2113
Copy
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