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1841620721
JASMINE KODWAVI
SAN JOSE, CA
NPI
1841620721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-11-14
Last Update Date
2013-11-14
Business Address
-- JASMINE KODWAVI
9500 MALECH ROAD
SAN JOSE, CA 95138
Phone number: 408-281-6555
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Mailing Address
-- JASMINE KODWAVI
PO BOX 13219
COYOTE, CA 95013-3219
Phone number:
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