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1740609510
LINCOLN
OAKLAND, CA
NPI
1740609510
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Entity Type
Organization
Authorized Contact
ALLISON STAULCUP BECWAR
Chief Program Officer
510-273-4700
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2014-04-09
Last Update Date
2015-12-07
Business Address
LINCOLN
1023 MACARTHUR BLVD
OAKLAND, CA 94610-3930
Phone number: 510-273-4700
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Mailing Address
LINCOLN
1266 14TH ST
OAKLAND, CA 94607-2205
Phone number: 510-273-4700
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