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1245927540
JOSE MOISES VALDEZ
SAN RAFAEL, CA
NPI
1245927540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 14953)
Enumeration Date
2023-04-18
Last Update Date
2023-04-18
Business Address
JOSE MOISES VALDEZ SUDRC
603 D ST
SAN RAFAEL, CA 94901-3719
Phone number: 415-454-9444
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Mailing Address
JOSE MOISES VALDEZ SUDRC
200 MACDONALD AVE
RICHMOND, CA 94801-2934
Phone number: 510-680-0069
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