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1255612305
CHARLES BAUMAN
SAN JOSE, CA
NPI
1255612305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 49830)
Enumeration Date
2011-09-02
Last Update Date
2011-09-02
Business Address
Mr. CHARLES BAUMAN
6529 CROWN BLVD STE D
SAN JOSE, CA 95120-2905
Phone number: 831-431-0346
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Mailing Address
Mr. CHARLES BAUMAN
219 VAN NESS AVE
SANTA CRUZ, CA 95060-3535
Phone number: 831-431-0346
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