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1770845869
PHILLIP HENRY LOLONIS
SAN LEANDRO, CA
NPI
1770845869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041S0200X Social Worker, School
Enumeration Date
2012-06-13
Last Update Date
2012-06-13
Business Address
-- PHILLIP HENRY LOLONIS
2045 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 510-667-3913
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Mailing Address
-- PHILLIP HENRY LOLONIS
2045 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 510-667-3913
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