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1306445911
KAMILAH AISHA PUCKETT
OAKLAND, CA
NPI
1306445911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 277590)
Enumeration Date
2020-10-23
Last Update Date
2020-10-23
Business Address
KAMILAH AISHA PUCKETT LVN
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330
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Mailing Address
KAMILAH AISHA PUCKETT LVN
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330
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