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1699012344
DOUGLAS AMENAGHAWON
SAN LEANDRO, CA
NPI
1699012344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-01-14
Last Update Date
2013-01-14
Business Address
-- DOUGLAS AMENAGHAWON
545 ESTUDILLO AVE
SAN LEANDRO, CA 94577-4611
Phone number: 510-586-8535
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Mailing Address
-- DOUGLAS AMENAGHAWON
545 ESTUDILLO AVE
SAN LEANDRO, CA 94577-4611
Phone number: 510-586-8535
Copy
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