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1215236559
YAMVO TEAGUE
BERKELEY, CA
NPI
1215236559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2011-03-25
Last Update Date
2011-03-25
Business Address
YAMVO TEAGUE RAS INTERN
1841 BERKELEY WAY
BERKELEY, CA 94703-1576
Phone number: 510-559-3558
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Mailing Address
YAMVO TEAGUE RAS INTERN
1841 BERKELEY WAY
BERKELEY, CA 94703-1576
Phone number:
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