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1003643222
ALYSSA LEE JETMORE
BERKELEY, CA
NPI
1003643222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-09-19
Last Update Date
2024-09-19
Business Address
ALYSSA LEE JETMORE
1410 BONITA AVE
BERKELEY, CA 94709-1909
Phone number: 510-526-4765
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Mailing Address
ALYSSA LEE JETMORE
450 RIDGEWOOD DR
MARTINEZ, CA 94553-4131
Phone number: 970-773-3032
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