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1285411744
STELLAR J ROURK
NOVATO, CA
NPI
1285411744
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Former Name
JESSICA LYN RUORK
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-09-11
Last Update Date
2023-09-11
Business Address
STELLAR J ROURK
201 ALAMEDA DEL PRADO STE 103
NOVATO, CA 94949-6698
Phone number: 415-457-6964
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Mailing Address
STELLAR J ROURK
1333 7TH ST
NOVATO, CA 94945-1801
Phone number: 707-228-3002
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