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1023569993
LINCOLN
OAKLAND, CA
NPI
1023569993
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Entity Type
Organization
Authorized Contact
ALLISON STAULCUP BECWAR
Chief Program Officer
510-273-4700
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2016-10-17
Last Update Date
2016-10-17
Business Address
LINCOLN
4720 DUNKIRK AVE
OAKLAND, CA 94605-5607
Phone number: 510-636-4653
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Mailing Address
LINCOLN
1266 14TH ST
OAKLAND, CA 94607-2205
Phone number: 510-531-3111
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