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1609520519
MARK ANDREW PISANESCHI
SAN JOSE, CA
NPI
1609520519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1433440621)
Enumeration Date
2022-02-09
Last Update Date
2022-02-09
Business Address
Mr. MARK ANDREW PISANESCHI RADT
9505 MALECH DR
SAN JOSE, CA 95138-2002
Phone number: 408-281-6570
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Mailing Address
Mr. MARK ANDREW PISANESCHI RADT
9505 MALECH DR
SAN JOSE, CA 95138-2002
Phone number: 408-281-6570
Copy
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