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1194159897
JESSE WADE
SAN LEANDRO, CA
NPI
1194159897
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-08-29
Last Update Date
2013-08-29
Business Address
-- JESSE WADE
3081 TEAGARDEN ST
SAN LEANDRO, CA 94577-5720
Phone number: 510-347-4620
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Mailing Address
-- JESSE WADE
3081 TEAGARDEN ST
SAN LEANDRO, CA 94577-5720
Phone number: 510-347-4620
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