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1013599620
TYGE GILBERT TROCHE
SAN LEANDRO, CA
NPI
1013599620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-04-22
Last Update Date
2021-04-22
Business Address
Mr. TYGE GILBERT TROCHE SUDRC
2035 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 510-346-7845
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Mailing Address
Mr. TYGE GILBERT TROCHE SUDRC
2035 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 510-346-7845
Copy
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