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1407574395
KALY HAMO MIASSO
SAN JOSE, CA
NPI
1407574395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-08-17
Last Update Date
2022-08-17
Business Address
KALY HAMO MIASSO
2450 SENTER RD
SAN JOSE, CA 95111-1053
Phone number: 925-913-0360
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Mailing Address
KALY HAMO MIASSO
2450 SENTER RD
SAN JOSE, CA 95111-1053
Phone number: 925-913-0360
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