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1174181960
JACQUELINE SUSAN COOPER
OAKLAND, CA
NPI
1174181960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-06-05
Last Update Date
2019-06-05
Business Address
JACQUELINE SUSAN COOPER
2545 SAN PABLO AVE
OAKLAND, CA 94612-1121
Phone number: 510-446-7160
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Mailing Address
JACQUELINE SUSAN COOPER
2545 SAN PABLO AVE
OAKLAND, CA 94612-1121
Phone number: 510-446-7160
Copy
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