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1104005115
MITCHELL GRANT
OAKLAND, CA
NPI
1104005115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2007-10-25
Last Update Date
2007-10-25
Business Address
-- MITCHELL GRANT
6333 TELEGRAPH AVE STE 102
OAKLAND, CA 94609-1359
Phone number: 510-923-1099
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Mailing Address
-- MITCHELL GRANT
6333 TELEGRAPH AVE STE 102
OAKLAND, CA 94609-1359
Phone number:
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