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1417183930
MARK J MOSELY
SAN MATEO, CA
NPI
1417183930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2009-06-10
Last Update Date
2009-06-10
Business Address
MARK J MOSELY CATC
1950 ALAMEDA DE LAS PULGAS
SAN MATEO, CA 94403-1222
Phone number: 650-573-2302
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Mailing Address
MARK J MOSELY CATC
222 PAUL SCANNELL DR
SAN MATEO, CA 94402-4061
Phone number: 650-312-8971
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