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1346580750
LIDDON EUGENE LEVINE
OAKLAND, CA
NPI
1346580750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-02-21
Last Update Date
2013-02-21
Business Address
-- LIDDON EUGENE LEVINE
4368 LINCOLN AVE
OAKLAND, CA 94602-2529
Phone number: 510-406-2674
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Mailing Address
-- LIDDON EUGENE LEVINE
926 106TH AVENUE
OAKLAND, CA 94603
Phone number: 510-406-2674
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