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1063234078
STACY MCDANIEL
OAKLAND, CA
NPI
1063234078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-10-30
Last Update Date
2024-11-11
Business Address
STACY MCDANIEL
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-3300
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Mailing Address
STACY MCDANIEL
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-3300
Copy
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