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1336371103
GERALD J SLAUGHTER
OAKLAND, CA
NPI
1336371103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-08-12
Last Update Date
2009-08-12
Business Address
-- GERALD J SLAUGHTER
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-653-5040
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Mailing Address
-- GERALD J SLAUGHTER
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-653-5040
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