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1679972970
MORTAKAI DIAMOND
OAKLAND, CA
NPI
1679972970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA none)
Enumeration Date
2014-08-22
Last Update Date
2014-08-22
Business Address
-- MORTAKAI DIAMOND
727 59TH ST
OAKLAND, CA 94609-1417
Phone number: 323-742-6031
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Mailing Address
-- MORTAKAI DIAMOND
727 59TH ST
OAKLAND, CA 94609-1417
Phone number: 323-742-6031
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