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1184220857
DANIEL STEVEN BANCHERO
SAN MATEO, CA
NPI
1184220857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Additional Taxonomies
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-12-08
Last Update Date
2020-12-08
Business Address
DANIEL STEVEN BANCHERO
2251 PALM AVE
SAN MATEO, CA 94403-1814
Phone number: 650-513-6500
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Mailing Address
DANIEL STEVEN BANCHERO
2251 PALM AVE
SAN MATEO, CA 94403-1814
Phone number: 650-513-6500
Copy
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