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1083900633
EMMANUEL JOHNNIE
ALAMEDA, CA
NPI
1083900633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-06-22
Last Update Date
2011-06-22
Business Address
-- EMMANUEL JOHNNIE
2325 CLEMENT AVE
ALAMEDA, CA 94501-7061
Phone number: 510-629-6300
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Mailing Address
-- EMMANUEL JOHNNIE
2325 CLEMENT AVE
ALAMEDA, CA 94501-7061
Phone number: 510-629-6300
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