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1003809765
LISHA LYNNE WILSON
OAKLAND, CA
NPI
1003809765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA G73584)
Enumeration Date
2005-08-29
Last Update Date
2016-08-09
Business Address
-- LISHA LYNNE WILSON MD
400 29TH ST STE 501
OAKLAND, CA 94609-3550
Phone number: 510-268-1800
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Mailing Address
-- LISHA LYNNE WILSON MD
400 29TH ST STE 501
OAKLAND, CA 94609-3550
Phone number: 510-268-1800
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