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1972640837
HARRIET LYNETTE JETER
OAKLAND, CA
NPI
1972640837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
-- HARRIET LYNETTE JETER
1125 E 18TH ST
OAKLAND, CA 94606-3858
Phone number: 510-395-7042
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Mailing Address
-- HARRIET LYNETTE JETER
1125 EAST 18TH. STREET
OAKLAND, CA 94606
Phone number: 510-395-7042
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