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1760907273
MARINA MARIE MENDONCA
SAN JOSE, CA
NPI
1760907273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-08-04
Last Update Date
2022-07-21
Business Address
MARINA MARIE MENDONCA
650 S. BASCOM AVE
SAN JOSE, CA 95128
Phone number: 408-283-8555
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Mailing Address
MARINA MARIE MENDONCA
650 S BASCOM AVE
SAN JOSE, CA 95128-2601
Phone number: 408-283-8555
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