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1831631035
EXPEDITO GANDEZA
SAN JOSE, CA
NPI
1831631035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2016-11-06
Last Update Date
2017-02-14
Business Address
-- EXPEDITO GANDEZA
2399 KENWOOD AVE
SAN JOSE, CA 95128-1335
Phone number: 808-285-3113
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Mailing Address
-- EXPEDITO GANDEZA
2399 KENWOOD AVE
SAN JOSE, CA 95128-1335
Phone number: 808-285-3113
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