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1790966281
DONNIE WAYNE HARDAWAY
OAKLAND, CA
NPI
1790966281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-11-26
Last Update Date
2007-11-26
Business Address
Mr. DONNIE WAYNE HARDAWAY
7105 FAVOR ST APT C
OAKLAND, CA 94621-3155
Phone number: 510-784-5889
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Mailing Address
Mr. DONNIE WAYNE HARDAWAY
7105 FAVOR ST APT C
OAKLAND, CA 94621-3155
Phone number: 510-784-5889
Copy
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