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1265965990
NIA STALLWORTH
OAKLAND, CA
NPI
1265965990
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Other Name
NIA JONES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-04-10
Last Update Date
2022-01-11
Business Address
NIA STALLWORTH
747 52ND ST
OAKLAND, CA 94609-1809
Phone number: 510-428-3331
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Mailing Address
NIA STALLWORTH
27303 SLEEPY HOLLOW AVE S
HAYWARD, CA 94545-4203
Phone number: 713-680-8661
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