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1578055208
MARY LEE
SAN LEANDRO, CA
NPI
1578055208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2018-05-30
Last Update Date
2019-09-24
Business Address
MARY LEE
81 DABNER ST
SAN LEANDRO, CA 94577-1423
Phone number: 612-481-1328
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Mailing Address
MARY LEE
81 DABNER ST
SAN LEANDRO, CA 94577-1423
Phone number: 612-481-1328
Copy
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