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1033982475
ANTHONY MICHAEL PADILLA
OAKLAND, CA
NPI
1033982475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1536181123)
Enumeration Date
2023-11-06
Last Update Date
2023-11-06
Business Address
ANTHONY MICHAEL PADILLA RADT
1315 FRUITVALE AVE
OAKLAND, CA 94601-2927
Phone number: 510-300-3170
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Mailing Address
ANTHONY MICHAEL PADILLA RADT
1315 FRUITVALE AVE
OAKLAND, CA 94601-2927
Phone number: 510-300-3170
Copy
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