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1760752794
WAYNE TODD HAMOR
SAN JOSE, CA
NPI
1760752794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-01-06
Last Update Date
2012-01-06
Business Address
-- WAYNE TODD HAMOR
4791 BORDWELL DR
SAN JOSE, CA 95118-2406
Phone number: 408-771-6749
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Mailing Address
-- WAYNE TODD HAMOR
4791 BORDWELL DR
SAN JOSE, CA 95118-2406
Phone number: 408-771-6749
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