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1720421647
GLEN LEE
OAKLAND, CA
NPI
1720421647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2013-04-10
Last Update Date
2013-04-10
Business Address
-- GLEN LEE
2035 40TH AVE
OAKLAND, CA 94601-4203
Phone number: 510-879-1282
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Mailing Address
-- GLEN LEE
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
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