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1063840635
LINCOLN
OAKLAND, CA
NPI
1063840635
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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
2013-10-17
Last Update Date
2024-11-12
Business Address
LINCOLN
4351 BROADWAY
OAKLAND, CA 94611-4612
Phone number: 510-273-4700
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Mailing Address
LINCOLN
150 LINDEN ST
OAKLAND, CA 94607-2538
Phone number: 510-852-0130
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