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1285295535
ELAINE JENNIE CAPUCHINO
SAN JOSE, CA
NPI
1285295535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA AMFT113781)
Enumeration Date
2019-06-27
Last Update Date
2019-06-27
Business Address
ELAINE JENNIE CAPUCHINO
650 S BASCOM AVE STE B
SAN JOSE, CA 95128-2601
Phone number: 408-283-8555
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Mailing Address
ELAINE JENNIE CAPUCHINO
347 MASSOL AVE APT 408
LOS GATOS, CA 95030-7238
Phone number: 408-835-5907
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