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1407618143
ELISABETH DESIMONE SUBEGA
SAN JOSE, CA
NPI
1407618143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 144580)
Enumeration Date
2024-01-29
Last Update Date
2024-01-29
Business Address
ELISABETH DESIMONE SUBEGA
3880 S BASCOM AVE STE 202
SAN JOSE, CA 95124-2675
Phone number: 408-559-1115
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Mailing Address
ELISABETH DESIMONE SUBEGA
16695 SHANNON RD
LOS GATOS, CA 95032-4619
Phone number: 083-489-6004
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