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1609656347
EDWARD RICHARDSON
OAKLAND, CA
NPI
1609656347
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2023-10-02
Last Update Date
2023-10-04
Business Address
EDWARD RICHARDSON
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330
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Mailing Address
EDWARD RICHARDSON
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330
Copy
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