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1255866455
JOHN BOSCO SSEMMULI
SAN RAFAEL, CA
NPI
1255866455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA IMF98034)
Enumeration Date
2017-04-25
Last Update Date
2017-04-25
Business Address
-- JOHN BOSCO SSEMMULI
135 PAUL DR
SAN RAFAEL, CA 94903-2023
Phone number: 415-492-4444
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Mailing Address
-- JOHN BOSCO SSEMMULI
1445 HARRISON ST APT 661
OAKLAND, CA 94612-3930
Phone number: 510-677-6057
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