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1013150465
SHAVAKI DENISE JACKSON
OAKLAND, CA
NPI
1013150465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2009-04-15
Last Update Date
2009-04-15
Business Address
-- SHAVAKI DENISE JACKSON
954 60TH ST SUITE 10
OAKLAND, CA 94608-2369
Phone number: 510-835-2505
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Mailing Address
-- SHAVAKI DENISE JACKSON
954 60TH ST SUITE 10
OAKLAND, CA 94608-2369
Phone number: 510-835-2505
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