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1598255283
ANTIONETTE MARIE CHARLES
SAN LEANDRO, CA
NPI
1598255283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-05-17
Last Update Date
2018-05-17
Business Address
ANTIONETTE MARIE CHARLES
2035 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 510-346-7836
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Mailing Address
ANTIONETTE MARIE CHARLES
2035 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 510-346-7836
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