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1861806432
MICHAEL GONG
OAKLAND, CA
NPI
1861806432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-06-11
Last Update Date
2014-06-11
Business Address
-- MICHAEL GONG
2579 SAN PABLO AVE
OAKLAND, CA 94612-1159
Phone number: 510-446-7161
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Mailing Address
-- MICHAEL GONG
2579 SAN PABLO AVE
OAKLAND, CA 94612-1159
Phone number:
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