Provider Information for 1881467041
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JIMMIE RICHARD TURNER Phd
Sex: Male
NPI: 1881467041
Last Updated: 2023-10-31
Certification Date: 2023-10-31
Certification Date: 2023-10-31
Details
Name | Value | ||||||||
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NPI | 1881467041 | ||||||||
Enumeration Date | 2023-10-31 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 857 MCKINLEY AVE OAKLAND, CA 94610-3832 United States Phone: 510-435-1433 | Fax: | ||||||||
Primary Practice Address | 857 MCKINLEY AVE OAKLAND, CA 94610-3832 United States Phone: 510-435-1433 | Fax: | ||||||||
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