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1174737423
LYSA SAMUEL
OAKLAND, CA
NPI
1174737423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA16296)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
-- LYSA SAMUEL PA
3100 TELEGRAPH AVE #2109 EAST BAY FAMILY PRACTICE MEDICAL GROUP INC
OAKLAND, CA 94609
Phone number: 510-645-9900
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Mailing Address
-- LYSA SAMUEL PA
3100 TELEGRAPH AVE #2109 EAST BAY FAMILY PRACTICE MEDICAL GROUP INC
OAKLAND, CA 94609
Phone number: 510-645-9900
Copy
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