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1003023961
ANTONIA K FOKKEN
OAKLAND, CA
NPI
1003023961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 37674)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- ANTONIA K FOKKEN LMFT
568 W GRAND AVE
OAKLAND, CA 94612-1618
Phone number: 510-268-7332
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Mailing Address
-- ANTONIA K FOKKEN LMFT
568 W GRAND AVE
OAKLAND, CA 94612-1618
Phone number: 510-268-7332
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