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1336394519
BRIAN JOHN DUNGAO MALICDEM
FREMONT, CA
NPI
1336394519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2008-12-01
Last Update Date
2016-09-08
Business Address
Mr. BRIAN JOHN DUNGAO MALICDEM
3607 MAIN ST SUITE A
FREMONT, CA 94538-4390
Phone number: 510-226-6180
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Mailing Address
Mr. BRIAN JOHN DUNGAO MALICDEM
1024 SUMMERDALE DR
SAN JOSE, CA 95132-2932
Phone number: 408-921-7004
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