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1194035840
CLAY VANCE
SAN LEANDRO, CA
NPI
1194035840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95007197)
Enumeration Date
2010-10-15
Last Update Date
2017-12-04
Business Address
CLAY VANCE
2100 LEWELLING BLVD SPC 16
SAN LEANDRO, CA 94579-2261
Phone number: 510-691-3592
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Mailing Address
CLAY VANCE
2100 LEWELLING BLVD SPC 16
SAN LEANDRO, CA 94579-2261
Phone number: 510-691-3592
Copy
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