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1497311831
AGNES MIKLOS-ILLES
OAKLAND, CA
NPI
1497311831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-05-10
Last Update Date
2019-05-10
Business Address
AGNES MIKLOS-ILLES
2540 CHARLESTON ST
OAKLAND, CA 94602-2508
Phone number: 510-528-8781
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Mailing Address
AGNES MIKLOS-ILLES
1191 SOLANO AVE #6579
ALBANY, CA 94706
Phone number: 510-528-8781
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