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1730387234
JIMMY RICHARD DETELS
SAN FRANCISCO, CA
NPI
1730387234
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-07-05
Last Update Date
2007-07-08
Business Address
-- JIMMY RICHARD DETELS
134 GOLDEN GATE AVE
SAN FRANCISCO, CA 94102-3810
Phone number: 415-673-5700
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Mailing Address
-- JIMMY RICHARD DETELS
134 GOLDEN GATE AVE
SAN FRANCISCO, CA 94102-3810
Phone number: 415-673-5700
Copy
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