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1417403197
MELISSA JEAN SOUTHWOOD
OAKLAND, CA
NPI
1417403197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NJ S68365377155804)
Enumeration Date
2016-08-31
Last Update Date
2016-08-31
Business Address
-- MELISSA JEAN SOUTHWOOD
2501 HARRISON ST
OAKLAND, CA 94612-3811
Phone number: 510-444-3344
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Mailing Address
-- MELISSA JEAN SOUTHWOOD
2501 HARRISON ST
OAKLAND, CA 94612-3811
Phone number: 510-444-3344
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