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1376600874
KENNETH EDWARD ST GEORGE
SAN JOSE, CA
NPI
1376600874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC28125)
Enumeration Date
2007-01-03
Last Update Date
2007-07-08
Business Address
-- KENNETH EDWARD ST GEORGE MA
390 SPAR AVE
SAN JOSE, CA 95117-1600
Phone number: 408-261-2481
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Mailing Address
-- KENNETH EDWARD ST GEORGE MA
1278 VAN DYCK DR
SUNNYVALE, CA 94087-2845
Phone number: 408-749-1535
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