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1689923179
JOSEPH ANGELO IACOCCA
SAN JOSE, CA
NPI
1689923179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA LNR 21606)
Enumeration Date
2012-08-30
Last Update Date
2012-08-30
Business Address
-- JOSEPH ANGELO IACOCCA
950 W. JULIAN STREET
SAN JOSE, CA 95126
Phone number: 408-292-9353
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Mailing Address
-- JOSEPH ANGELO IACOCCA
950 W. JULIAN STREET
SAN JOSE, CA 95126
Phone number: 408-292-9353
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