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1902643190
INNOVATIVE RESOURCES SSM
SAN JOSE, CA
NPI
1902643190
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Entity Type
Organization
Authorized Contact
YOLANDA LEWIS
Executive Director
855-311-3335
Organization Subpart ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2024-07-13
Last Update Date
2024-07-13
Business Address
INNOVATIVE RESOURCES SSM
619 N 1ST ST
SAN JOSE, CA 95112-5110
Phone number: 916-891-7552
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Mailing Address
INNOVATIVE RESOURCES SSM
619 N 1ST ST
SAN JOSE, CA 95112-5110
Phone number: 916-891-7552
Copy
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