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1972257756
GRANT PEZESHKI
BERKELEY, CA
NPI
1972257756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
174400000X Specialist
Enumeration Date
2022-02-09
Last Update Date
2022-02-11
Business Address
GRANT PEZESHKI
1348 VIRGINIA ST
BERKELEY, CA 94702-1467
Phone number: 718-857-8729
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Mailing Address
GRANT PEZESHKI
1348 VIRGINIA ST
BERKELEY, CA 94702-1467
Phone number: 718-857-8729
Copy
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