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1326335118
KENNETH ANDREW
SAN JOSE, CA
NPI
1326335118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-06-30
Last Update Date
2023-06-07
Business Address
Mr. KENNETH ANDREW
102 S 11TH ST
SAN JOSE, CA 95112-2132
Phone number: 408-903-0922
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Mailing Address
Mr. KENNETH ANDREW
720 S 3RD ST APT 7
SAN JOSE, CA 95112-5863
Phone number: 408-903-0922
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