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1871153536
ANTHONY FREGOSO
SAN RAFAEL, CA
NPI
1871153536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-06-15
Last Update Date
2019-06-15
Business Address
ANTHONY FREGOSO caodc-i
1601 2ND ST STE 104
SAN RAFAEL, CA 94901-2701
Phone number: 415-545-9444
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Mailing Address
ANTHONY FREGOSO caodc-i
1601 2ND ST STE 104
SAN RAFAEL, CA 94901-2701
Phone number: 415-545-9444
Copy
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