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1326615584
DIAMOND DOUGLAS
SAN LEANDRO, CA
NPI
1326615584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-06-07
Last Update Date
2021-06-07
Business Address
DIAMOND DOUGLAS
2035 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 833-838-2008
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Mailing Address
DIAMOND DOUGLAS
23765 LYNN ST
HAYWARD, CA 94541-7428
Phone number: 415-605-3188
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