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1912280819
MANUEL RICO
HAYWARD, CA
NPI
1912280819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-09-27
Last Update Date
2011-09-27
Business Address
-- MANUEL RICO
107 JACKSON ST
HAYWARD, CA 94544-1948
Phone number: 510-886-8696
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Mailing Address
-- MANUEL RICO
107 JACKSON ST
HAYWARD, CA 94544-1948
Phone number:
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