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1043497522
SAMUEL TERRANCE HARGROVE
VALLEJO, CA
NPI
1043497522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-01-27
Last Update Date
2008-01-27
Business Address
-- SAMUEL TERRANCE HARGROVE
408 TENNESSEE ST
VALLEJO, CA 94590-4453
Phone number: 707-554-2397
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Mailing Address
-- SAMUEL TERRANCE HARGROVE
116 E K ST
BENICIA, CA 94510-3243
Phone number: 707-704-4638
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