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1235950031
ANGELIQUE IRVING
HAYWARD, CA
NPI
1235950031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-10-23
Last Update Date
2024-10-23
Business Address
ANGELIQUE IRVING mph
1866 B ST STE 101
HAYWARD, CA 94541-3184
Phone number: 510-334-0235
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Mailing Address
ANGELIQUE IRVING mph
1866 B ST STE 101
HAYWARD, CA 94541-3184
Phone number:
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