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1386156560
ISIAH DANIELS
SAN RAFAEL, CA
NPI
1386156560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: CA A018660515)
Enumeration Date
2017-10-28
Last Update Date
2017-10-28
Business Address
Mr. ISIAH DANIELS CADC-II
710 C ST STE 8
SAN RAFAEL, CA 94901-3853
Phone number: 451-485-6736
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Mailing Address
Mr. ISIAH DANIELS CADC-II
710 N 6TH ST
SAN JOSE, CA 95112-3277
Phone number: 831-124-0527
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