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1033655519
LESLIE STAVIG
OAKLAND, CA
NPI
1033655519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 535172)
Enumeration Date
2017-01-09
Last Update Date
2017-01-09
Business Address
-- LESLIE STAVIG RN
386 14TH ST
OAKLAND, CA 94612-3211
Phone number: 510-210-5056
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Mailing Address
-- LESLIE STAVIG RN
608 38TH ST
RICHMOND, CA 94805-1702
Phone number: 510-215-8726
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