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1952649667
OMAR GONZALEZ
OAKLAND, CA
NPI
1952649667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2013-01-30
Last Update Date
2014-10-02
Business Address
-- OMAR GONZALEZ
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-653-5040
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Mailing Address
-- OMAR GONZALEZ
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-653-5040
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