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1962692525
GAOUSSOU OUATTARA
OAKLAND, CA
NPI
1962692525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-07-30
Last Update Date
2007-07-30
Business Address
-- GAOUSSOU OUATTARA
3800 COOLIDGE AVE
OAKLAND, CA 94602-3311
Phone number: 510-482-2244
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Mailing Address
-- GAOUSSOU OUATTARA
1430 HAYES ST
RICHMOND, CA 94806-4808
Phone number: 510-219-3608
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