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1447702196
BAHATI JACKSON
OAKLAND, CA
NPI
1447702196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-10-28
Last Update Date
2016-10-28
Business Address
-- BAHATI JACKSON
7501 INTERNATIONAL BLVD
OAKLAND, CA 94621-2843
Phone number: 510-729-8800
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Mailing Address
-- BAHATI JACKSON
7501 INTERNATIONAL BLVD
OAKLAND, CA 94621-2843
Phone number: 510-729-8800
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