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1255860847
JASON SAMUEL MIDDLETON
DUBLIN, CA
NPI
1255860847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-06-07
Last Update Date
2017-06-07
Business Address
JASON SAMUEL MIDDLETON
8555 WICKLOW LN
DUBLIN, CA 94568-1145
Phone number: 510-925-8779
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Mailing Address
JASON SAMUEL MIDDLETON
7200 BANCROFT AVE STE 133
OAKLAND, CA 94605-2480
Phone number: 510-553-8500
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