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1033738851
CASEY JAKE SMITH
OAKLAND, CA
NPI
1033738851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A189429)
Enumeration Date
2020-04-11
Last Update Date
2023-09-19
Business Address
CASEY JAKE SMITH
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601-2228
Phone number: 505-862-2029
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Mailing Address
CASEY JAKE SMITH
1545 DIVISADERO ST STE 306
SAN FRANCISCO, CA 94143-3400
Phone number:
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