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1649312216
JAN KANSON
OAKLAND, CA
NPI
1649312216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 719429)
Enumeration Date
2007-02-12
Last Update Date
2007-07-08
Business Address
-- JAN KANSON RD
280 W MACARTHUR BLVD
OAKLAND, CA 94611-5642
Phone number: 510-752-6098
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Mailing Address
-- JAN KANSON RD
660 FARGO AVE APT 10
SAN LEANDRO, CA 94579-2166
Phone number: 510-752-6098
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