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1275052904
JIMMY CHARLES HENRY
SAN JOSE, CA
NPI
1275052904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2017-09-13
Last Update Date
2017-09-13
Business Address
JIMMY CHARLES HENRY
1401 PARKMOOR AVE STE 230
SAN JOSE, CA 95126-3407
Phone number: 408-258-7343
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Mailing Address
JIMMY CHARLES HENRY
1401 PARKMOOR AVE STE 230
SAN JOSE, CA 95126-3407
Phone number:
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