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1083279681
DENEASE LASALLE LEAVY-JORDAN
SAN FRANCISCO, CA
NPI
1083279681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-05-08
Last Update Date
2019-05-08
Business Address
DENEASE LASALLE LEAVY-JORDAN
1001 POTRERO AVE BLDG 5
SAN FRANCISCO, CA 94110-3518
Phone number: 415-206-8125
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Mailing Address
DENEASE LASALLE LEAVY-JORDAN
1001 POTRERO AVE BLDG 5
SAN FRANCISCO, CA 94110-3518
Phone number: 415-206-8125
Copy
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