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1780132076
IGNACIO GALLEGOS
SAN RAFAEL, CA
NPI
1780132076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-09-14
Last Update Date
2016-09-14
Business Address
Mr. IGNACIO GALLEGOS
914 MISSION AVE 3RD FLOOR
SAN RAFAEL, CA 94901-6106
Phone number: 415-457-6964
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Mailing Address
Mr. IGNACIO GALLEGOS
243 CARINA DR
SANTA ROSA, CA 95401-5815
Phone number: 707-217-3961
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