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1972152726
KELLY JIA LI FANG
OAKLAND, CA
NPI
1972152726
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC1500X Registered Nurse, Community Health
(Licence: CA 788618)
Enumeration Date
2019-09-04
Last Update Date
2019-09-04
Business Address
KELLY JIA LI FANG
818 WEBSTER ST
OAKLAND, CA 94607-4220
Phone number: 510-986-6800
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Mailing Address
KELLY JIA LI FANG
2225 CLINTON AVE
ALAMEDA, CA 94501-4927
Phone number:
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