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1417085911
JUSTIN LEE THIEL
SAN LEANDRO, CA
NPI
1417085911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
Mr. JUSTIN LEE THIEL
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-481-1222
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Mailing Address
Mr. JUSTIN LEE THIEL
5830 BIRCH CT
OAKLAND, CA 94618-1627
Phone number: 510-295-9309
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