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1750026589
LA TAVIA PHILLIPS
OAKLAND, CA
NPI
1750026589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2022-05-05
Last Update Date
2024-10-10
Business Address
LA TAVIA PHILLIPS
8945 GOLF LINKS RD
OAKLAND, CA 94605-4124
Phone number: 510-317-1444
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Mailing Address
LA TAVIA PHILLIPS
8945 GOLF LINKS RD
OAKLAND, CA 94605-4124
Phone number: 510-317-1444
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