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1285917476
SAM H TELLEZ
SAN CARLOS, CA
NPI
1285917476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 092000)
Enumeration Date
2011-09-23
Last Update Date
2011-09-23
Business Address
Mr. SAM H TELLEZ caade
335 QUARRY RD
SAN CARLOS, CA 94070-6217
Phone number: 650-595-8165
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Mailing Address
Mr. SAM H TELLEZ caade
335 QUARRY RD
SAN CARLOS, CA 94070-6217
Phone number: 650-595-8165
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