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1316408057
LYNETTE VERTILUS
OAKLAND, CA
NPI
1316408057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 010081an)
Enumeration Date
2019-03-26
Last Update Date
2020-01-02
Business Address
LYNETTE VERTILUS
3315 INTERNATIONAL BLVD
OAKLAND, CA 94601-3005
Phone number: 510-881-5921
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Mailing Address
LYNETTE VERTILUS
2354 FRUITVALE AVE APT 14
OAKLAND, CA 94601-2573
Phone number: 408-469-8889
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