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Individual

AARON MANUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(408) 364-4094
Mailing address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(408) 364-4094

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4739
COUNTY ID
CA
Enumeration date
05/11/2007
Last updated
07/08/2007
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