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1255837308
MARIE BROADWAY
OAKLAND, CA
NPI
1255837308
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2018-04-05
Last Update Date
2018-04-19
Business Address
MARIE BROADWAY
3301 E 12TH ST
OAKLAND, CA 94601-3424
Phone number: 413-695-8781
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Mailing Address
MARIE BROADWAY
628 BEACON ST
OAKLAND, CA 94610-3608
Phone number:
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