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1255520805
SHADI FAKHRI RAVARI
OAKLAND, CA
NPI
1255520805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-10-19
Last Update Date
2007-10-19
Business Address
-- SHADI FAKHRI RAVARI
1124 INTERNATIONAL BLVD
OAKLAND, CA 94606-4331
Phone number: 510-533-0800
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Mailing Address
-- SHADI FAKHRI RAVARI
1124 INTERNATIONAL BLVD
OAKLAND, CA 94606-4331
Phone number:
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