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1205274891
COMMODORE WILLIAM
SAN CARLOS, CA
NPI
1205274891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2013-06-05
Last Update Date
2023-05-10
Business Address
Mr. COMMODORE WILLIAM
1692 EL CAMINO REAL
SAN CARLOS, CA 94070-5208
Phone number: 508-179-0706
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Mailing Address
Mr. COMMODORE WILLIAM
PO BOX 1329
SAN CARLOS, CA 94070-7329
Phone number: 650-817-9070
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