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1265643944
TAMMY L BANKSTON
RICHMOND, CA
NPI
1265643944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
-- TAMMY L BANKSTON
820 23RD ST
RICHMOND, CA 94804-1338
Phone number: 510-229-5000
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Mailing Address
-- TAMMY L BANKSTON
2513 MAINE AVE
RICHMOND, CA 94804-2827
Phone number: 510-237-9104
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