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1841486065
TENAYA JACKMAN
OAKLAND, CA
NPI
1841486065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: CA 212)
Enumeration Date
2007-09-20
Last Update Date
2007-09-20
Business Address
Ms. TENAYA JACKMAN L.M.
378 BELMONT ST #4
OAKLAND, CA 94610-4842
Phone number: 510-832-1648
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Mailing Address
Ms. TENAYA JACKMAN L.M.
378 BELMONT ST #4
OAKLAND, CA 94610-4842
Phone number: 510-832-1648
Copy
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