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1457613903
DARYL WAYNE MANZO
SAN JOSE, CA
NPI
1457613903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-06-11
Last Update Date
2012-06-11
Business Address
-- DARYL WAYNE MANZO
950 W JULIAN ST
SAN JOSE, CA 95126-2719
Phone number: 408-292-9353
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Mailing Address
-- DARYL WAYNE MANZO
950 W JULIAN ST
SAN JOSE, CA 95126-2719
Phone number: 408-292-9353
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