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1528579067
KIEV DAVALE HARRIS
OAKLAND, CA
NPI
1528579067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
106H00000X Marriage & Family Therapist
Enumeration Date
2017-10-23
Last Update Date
2018-02-15
Business Address
KIEV DAVALE HARRIS
3301 E 12TH ST STE 259
OAKLAND, CA 94601-2940
Phone number: 510-698-9151
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Mailing Address
KIEV DAVALE HARRIS
3301 E 12TH ST STE 259
OAKLAND, CA 94601-2940
Phone number:
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