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1740864214
MARK LEONARD VINCENT
ALAMEDA, CA
NPI
1740864214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-05-10
Last Update Date
2021-06-23
Business Address
MARK LEONARD VINCENT
1025 ATLANTIC AVE STE 101
ALAMEDA, CA 94501-1188
Phone number: 510-268-8120
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Mailing Address
MARK LEONARD VINCENT
1266 14TH ST
OAKLAND, CA 94607-2247
Phone number: 510-273-4700
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