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1700282506
KINGSLEY O NWALA
VALLEJO, CA
NPI
1700282506
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2014-11-06
Last Update Date
2024-08-19
Business Address
KINGSLEY O NWALA residential conselor
508 ALABAMA ST
VALLEJO, CA 94590-4446
Phone number: 707-557-5896
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Mailing Address
KINGSLEY O NWALA residential conselor
508 ALABAMA ST # AT
VALLEJO, CA 94590-4446
Phone number: 707-515-7186
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