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1851014310
ABIGAIL IVES RAESIDE
OAKLAND, CA
NPI
1851014310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2022-09-20
Last Update Date
2023-05-22
Business Address
ABIGAIL IVES RAESIDE
3800 COOLIDGE AVE
OAKLAND, CA 94602-3311
Phone number: 510-482-2244
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Mailing Address
ABIGAIL IVES RAESIDE
3800 COOLIDGE AVE
OAKLAND, CA 94602-3311
Phone number:
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