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1003022526
ROBERT THAYNE HAKE
UKIAH, CA
NPI
1003022526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA CATC# 071372)
Enumeration Date
2007-05-14
Last Update Date
2007-07-08
Business Address
-- ROBERT THAYNE HAKE
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2627
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Mailing Address
-- ROBERT THAYNE HAKE
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number:
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