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1194403048
DAVID WILLIAM MODERSBACH
OAKLAND, CA
NPI
1194403048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: CA 04011994)
Enumeration Date
2023-07-10
Last Update Date
2024-01-03
Business Address
DAVID WILLIAM MODERSBACH
1404 FRANKLIN ST STE 200
OAKLAND, CA 94612-3208
Phone number: 510-891-8916
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Mailing Address
DAVID WILLIAM MODERSBACH
2265 COURTLAND AVE
OAKLAND, CA 94601-4707
Phone number: 510-535-9122
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