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1033559513
CLYDE CALVIN WAYNE
ANTIOCH, CA
NPI
1033559513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2013-06-28
Last Update Date
2013-06-28
Business Address
CLYDE CALVIN WAYNE
418 W 4TH ST
ANTIOCH, CA 94509-1245
Phone number: 510-393-1864
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Mailing Address
CLYDE CALVIN WAYNE
418 W 4TH ST
ANTIOCH, CA 94509-1245
Phone number: 510-393-1864
Copy
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