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1225239221
TYRONE KILSON
SAN LEANDRO, CA
NPI
1225239221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-29
Last Update Date
2007-07-08
Business Address
-- TYRONE KILSON
1403 164TH AVE
SAN LEANDRO, CA 94578-3123
Phone number: 510-481-8645
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Mailing Address
-- TYRONE KILSON
6718 FLORA ST
OAKLAND, CA 94621-3626
Phone number:
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