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1073851754
ANTHONY DEATON
NEWARK, CA
NPI
1073851754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA 22179)
Enumeration Date
2013-01-30
Last Update Date
2013-01-30
Business Address
-- ANTHONY DEATON
6456 ESCALLONIA DR
NEWARK, CA 94560-4724
Phone number: 510-828-2500
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Mailing Address
-- ANTHONY DEATON
6456 ESCALLONIA DR
NEWARK, CA 94560-4724
Phone number: 510-828-2500
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