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1972325371
BASILIO RICO SERRANO
HAYWARD, CA
NPI
1972325371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-10-28
Last Update Date
2024-10-28
Business Address
BASILIO RICO SERRANO
2575 DEPOT RD
HAYWARD, CA 94545-2341
Phone number: 510-784-5874
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Mailing Address
BASILIO RICO SERRANO
2575 DEPOT RD
HAYWARD, CA 94545-2341
Phone number: 510-784-5874
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