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1073927711
NATHAN PHILLIP
OAKLAND, CA
NPI
1073927711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2014-06-19
Last Update Date
2014-06-19
Business Address
-- NATHAN PHILLIP
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-653-5040
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Mailing Address
-- NATHAN PHILLIP
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-653-5040
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