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1366861338
ANGELICA A LODGE
SAN LEANDRO, CA
NPI
1366861338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: CA 95022375)
Enumeration Date
2014-04-07
Last Update Date
2014-04-07
Business Address
-- ANGELICA A LODGE RN
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
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Mailing Address
-- ANGELICA A LODGE RN
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
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