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1255074837
MICHAEL CALLEN STULTS
OAKLAND, CA
NPI
1255074837
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-04-20
Last Update Date
2022-04-20
Business Address
Mr. MICHAEL CALLEN STULTS
400 BROADWAY
OAKLAND, CA 94607-3807
Phone number: 510-208-1151
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Mailing Address
Mr. MICHAEL CALLEN STULTS
400 BROADWAY
OAKLAND, CA 94607-3807
Phone number:
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