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1598301228
JASON DAVID SANDERS
SAN MATEO, CA
NPI
1598301228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-11-18
Last Update Date
2019-11-18
Business Address
JASON DAVID SANDERS
416 2ND AVE
SAN MATEO, CA 94401-3205
Phone number: 650-579-7158
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Mailing Address
JASON DAVID SANDERS
32 MCAKER CT
SAN MATEO, CA 94403-1726
Phone number:
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