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1619276276
JONATHAN MALICDEM
SACRAMENTO, CA
NPI
1619276276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2011-03-22
Last Update Date
2020-09-02
Business Address
Mr. JONATHAN MALICDEM
4612 ROOSEVELT AVE
SACRAMENTO, CA 95820-4520
Phone number: 916-457-3129
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Mailing Address
Mr. JONATHAN MALICDEM
4612 ROOSEVELT AVE
SACRAMENTO, CA 95820-4520
Phone number:
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