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1710329925
SAN QUENTIN
BERKELEY, CA
NPI
1710329925
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Entity Type
Organization
Authorized Contact
CHRISTOPHER ROACH
Supervisor
415-454-1460
Organization Subpart ?
No
Primary Taxonomy
251B00000X Case Management
Enumeration Date
2013-07-29
Last Update Date
2013-07-29
Business Address
SAN QUENTIN
1635 JOSEPHINE ST
BERKELEY, CA 94703-1320
Phone number: 415-454-1469
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Mailing Address
SAN QUENTIN
1635 JOSEPHINE ST
BERKELEY, CA 94703-1320
Phone number: 415-454-1469
Copy
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