CLYDE CALVIN WAYNE

ANTIOCH, CA
NPI1033559513
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2013-06-28
Last Update Date2013-06-28
Business Address
-- CLYDE CALVIN WAYNE
418 W 4TH ST
ANTIOCH, CA 94509-1245
Phone number: 510-393-1864
Mailing Address
-- CLYDE CALVIN WAYNE
418 W 4TH ST
ANTIOCH, CA 94509-1245
Phone number: 510-393-1864
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