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Individual

MR. JACKINO AMATO III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1075 E SANTA CLARA ST, SAN JOSE, CA 95116-2244
(669) 309-3197
(408) 792-2158
Mailing address
1075 E SANTA CLARA ST, SAN JOSE, CA 95116-2244
(669) 309-3197
(408) 792-2158

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CA

Other

Enumeration date
03/16/2023
Last updated
03/16/2023
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