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1518149889
LARRY BOADO SANTIAGO
CONCORD, CA
NPI
1518149889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 96681)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2007-11-28
Last Update Date
2022-05-13
Business Address
Mr. LARRY BOADO SANTIAGO
2086 COMMERCE AVE
CONCORD, CA 94520-4902
Phone number: 925-827-0212
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Mailing Address
Mr. LARRY BOADO SANTIAGO
5140 DIAMOND HEIGHTS BLVD APT 105A
SAN FRANCISCO, CA 94131-1747
Phone number: 925-331-0528
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