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1710729801
EBONY GREEN
OAKLAND, CA
NPI
1710729801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-06-10
Last Update Date
2024-11-12
Business Address
EBONY GREEN
3800 COOLIDGE AVE
OAKLAND, CA 94602-3311
Phone number: 510-482-2244
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Mailing Address
EBONY GREEN
4712 FOOTHILL BLVD
OAKLAND, CA 94601-5350
Phone number: 603-339-6632
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