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1104309111
KELSEY CRYSTEL-MARIE BEVANS
OAKLAND, CA
NPI
1104309111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-09-14
Last Update Date
2018-09-14
Business Address
KELSEY CRYSTEL-MARIE BEVANS
3001 INTERNATIONAL BLVD
OAKLAND, CA 94601-2203
Phone number: 510-852-0434
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Mailing Address
KELSEY CRYSTEL-MARIE BEVANS
22611 LINDEN ST
HAYWARD, CA 94541-3121
Phone number: 209-740-9958
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