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1205349255
MARK EBALO
SAN JOSE, CA
NPI
1205349255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2017-11-13
Last Update Date
2023-06-20
Business Address
MARK EBALO PP-2
1356 RIDDER PARK DR
SAN JOSE, CA 95131-2313
Phone number: 669-205-2512
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Mailing Address
MARK EBALO PP-2
1356 RIDDER PARK DR
SAN JOSE, CA 95131-2313
Phone number: 669-205-2512
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