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1669997854
JERRY DATTILO
SAN MATEO, CA
NPI
1669997854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-08-08
Last Update Date
2017-08-08
Business Address
JERRY DATTILO BA
2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403-2382
Phone number: 650-513-6122
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Mailing Address
JERRY DATTILO BA
2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403-2382
Phone number: 650-373-0777
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