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1114258373
ANIBAL BLANCO
HAYWARD, CA
NPI
1114258373
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-01-27
Last Update Date
2016-01-12
Business Address
Mr. ANIBAL BLANCO
30086 MISSION BLVD
HAYWARD, CA 94544-7233
Phone number: 510-675-9362
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Mailing Address
Mr. ANIBAL BLANCO
30086 MISSION BLVD
HAYWARD, CA 94544-7233
Phone number: 510-675-9362
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