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1548008667
EBONY ANDRE MANUEL
ALAMEDA, CA
NPI
1548008667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 95183771)
Enumeration Date
2024-07-15
Last Update Date
2024-07-15
Business Address
Mr. EBONY ANDRE MANUEL RN
1080 MARINA VILLAGE PKWY
ALAMEDA, CA 94501-6427
Phone number: 510-337-7950
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Mailing Address
Mr. EBONY ANDRE MANUEL RN
2750 NAPLES ST
HAYWARD, CA 94545-3412
Phone number: 510-681-4075
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