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1275984825
ANGELA BACA
SAN MATEO, CA
NPI
1275984825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-06-24
Last Update Date
2016-06-24
Business Address
-- ANGELA BACA
27 N HUMBOLDT ST
SAN MATEO, CA 94401-2923
Phone number: 650-342-0454
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Mailing Address
-- ANGELA BACA
2015 PIONEER CT
SAN MATEO, CA 94403-1781
Phone number: 650-342-0454
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