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1386902195
RUDY JESSE GASTELO
GILROY, CA
NPI
1386902195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-04-30
Last Update Date
2012-04-30
Business Address
-- RUDY JESSE GASTELO
6980 CHESTNUT ST
GILROY, CA 95020-6635
Phone number: 408-779-2113
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Mailing Address
-- RUDY JESSE GASTELO
6980 CHESTNUT ST
GILROY, CA 95020-6635
Phone number: 408-779-2113
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