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1770790263
PHILIP M RICO
SAN FRANCISCO, CA
NPI
1770790263
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
Mr. PHILIP M RICO BA
205 13TH ST # 3300
SAN FRANCISCO, CA 94103-2461
Phone number: 415-552-4660
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Mailing Address
Mr. PHILIP M RICO BA
5825 DOVER ST
OAKLAND, CA 94609-1423
Phone number: 510-395-2724
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