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1740704022
ANTHONY JOSEPH NOVELLO
SAN JOSE, CA
NPI
1740704022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-07-28
Last Update Date
2022-07-21
Business Address
ANTHONY JOSEPH NOVELLO
650 S BASCOM AVE
SAN JOSE, CA 95128-2601
Phone number: 408-283-8554
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Mailing Address
ANTHONY JOSEPH NOVELLO
650 S BASCOM AVE
SAN JOSE, CA 95128-2601
Phone number: 408-283-8554
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