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1598839268
JOSE LUIS MACIAS JR
SAN JOSE, CA
NPI
1598839268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-11-17
Last Update Date
2007-07-08
Business Address
Mr. JOSE LUIS MACIAS JR
232 E GISH RD
SAN JOSE, CA 95112-4706
Phone number: 408-876-4102
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Mailing Address
Mr. JOSE LUIS MACIAS JR
2910 MACINTYRE DR APT 109
SAN JOSE, CA 95136-1288
Phone number:
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