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1487953337
EDITH Y MORENO
SAN JOSE, CA
NPI
1487953337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA A7414537)
Enumeration Date
2011-03-17
Last Update Date
2011-03-17
Business Address
MRS. EDITH Y MORENO
614 TULLY RD
SAN JOSE, CA 95111-1048
Phone number: 408-977-1591
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Mailing Address
MRS. EDITH Y MORENO
614 TULLY RD
SAN JOSE, CA 95111-1048
Phone number: 408-977-1591
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