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1457757130
DOUGLAS THALACKER
SAN FRANCISCO, CA
NPI
1457757130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-11-07
Last Update Date
2023-12-26
Business Address
DOUGLAS THALACKER
1060 HOWARD ST
SAN FRANCISCO, CA 94103-2820
Phone number: 510-988-7161
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Mailing Address
DOUGLAS THALACKER
1060 HOWARD ST
SAN FRANCISCO, CA 94103-2820
Phone number: 510-988-7161
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