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1154965283
COELISE H MARTIN
OAKLAND, CA
NPI
1154965283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: CA N9378568)
Enumeration Date
2019-10-31
Last Update Date
2019-10-31
Business Address
COELISE H MARTIN
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330
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Mailing Address
COELISE H MARTIN
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330
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