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1972165710
LINCOLN
OAKLAND, CA
NPI
1972165710
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Entity Type
Organization
Authorized Contact
ALLISON STAULCUP BECWAR
Chief Executive Officer
510-273-4700
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2019-07-02
Last Update Date
2019-07-02
Business Address
LINCOLN
3670 PENNIMAN AVE
OAKLAND, CA 94619-1116
Phone number: 510-535-2812
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Mailing Address
LINCOLN
1266 14TH ST
OAKLAND, CA 94607-2247
Phone number: 510-273-4700
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