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1124066329
PRENTICE ALAN TOM
SAN JOSE, CA
NPI
1124066329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA G70900)
Enumeration Date
2006-06-02
Last Update Date
2007-11-27
Business Address
-- PRENTICE ALAN TOM M.D
2425 SAMARITAN DRIVE
SAN JOSE, CA 95124
Phone number: 408-559-2011
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Mailing Address
-- PRENTICE ALAN TOM M.D
2100 POWELL STREET STE 920
EMERYVILLE, CA 94608-1803
Phone number: 510-350-2777
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