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1487146197
JACKY GUAN
BERKELEY, CA
NPI
1487146197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2018-05-30
Last Update Date
2022-12-27
Business Address
MR. JACKY GUAN
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704-3238
Phone number: 510-847-2514
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Mailing Address
MR. JACKY GUAN
500 KENMARE CT
PINOLE, CA 94564-2689
Phone number: 510-332-8829
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