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1871023630
PHILIP STALEY
BERKELEY, CA
NPI
1871023630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA 95048577)
Enumeration Date
2017-06-14
Last Update Date
2017-06-14
Business Address
PHILIP STALEY RN
1890 ALCATRAZ AVENUE
BERKELEY, CA 94608
Phone number: 510-981-7643
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Mailing Address
PHILIP STALEY RN
1890 ALCATRAZ AVE
BERKELEY, CA 94703-2715
Phone number: 510-981-7643
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