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1558025700
MELISSA ROSE IHLY
SAN JOSE, CA
NPI
1558025700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2021-10-25
Last Update Date
2023-05-14
Business Address
MELISSA ROSE IHLY
86 S 14TH ST
SAN JOSE, CA 95112-2015
Phone number: 408-510-7080
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Mailing Address
MELISSA ROSE IHLY
1922 THE ALAMEDA STE 316
SAN JOSE, CA 95126-1461
Phone number: 408-261-7777
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