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1003027772
TANYA MCCULLOM
OAKLAND, CA
NPI
1003027772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
-- TANYA MCCULLOM
7200 BANCROFT AVE SUITE 125D
OAKLAND, CA 94605-2403
Phone number: 510-777-3886
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Mailing Address
-- TANYA MCCULLOM
7200 BANCROFT AVE SUITE 125D
OAKLAND, CA 94605-2403
Phone number: 510-777-3886
Copy
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