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1154755106
LINCOLN
OAKLAND, CA
NPI
1154755106
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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
2013-08-27
Last Update Date
2017-07-19
Business Address
LINCOLN
4610 FOOTHILL BLVD
OAKLAND, CA 94601-4618
Phone number: 510-879-1597
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Mailing Address
LINCOLN
1266 14TH ST
OAKLAND, CA 94607-2205
Phone number: 510-273-4700
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