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Individual

GEORGE CHARBAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
111 MYRTLE ST STE 102, OAKLAND, CA 94607-2535
(510) 839-3800
Mailing address
111 MYRTLE ST STE 102, OAKLAND, CA 94607-2535
(510) 839-3800

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/11/2012
Last updated
09/11/2012
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