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1891974382
DWAINE LEO FRYE
FREMONT, CA
NPI
1891974382
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-10-31
Last Update Date
2007-10-31
Business Address
Mr. DWAINE LEO FRYE
4510 PERALTA BLVD SUITE 1
FREMONT, CA 94536-5755
Phone number: 510-713-3202
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Mailing Address
Mr. DWAINE LEO FRYE
4510 PERALTA BLVD SUITE 1
FREMONT, CA 94536-5755
Phone number: 510-713-3202
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