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1871153700
OLIVIA LONG
SAN LEANDRO, CA
NPI
1871153700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-06-13
Last Update Date
2023-08-28
Business Address
OLIVIA LONG
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577-4962
Phone number: 510-924-0548
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Mailing Address
OLIVIA LONG
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577-4962
Phone number: 510-924-0548
Copy
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