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1295010759
MARY JO BUMSTEAD
SANTA CRUZ, CA
NPI
1295010759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-10-17
Last Update Date
2013-04-30
Business Address
Miss MARY JO BUMSTEAD MFTI
530 SOQUEL AVE
SANTA CRUZ, CA 95062-2301
Phone number: 831-426-7322
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Mailing Address
Miss MARY JO BUMSTEAD MFTI
14938 CAMDEN AVE # 44
SAN JOSE, CA 95124-2801
Phone number: 530-570-7120
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