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1205561859
JOHN MOGANNAM
OAKLAND, CA
NPI
1205561859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-07-19
Last Update Date
2022-07-19
Business Address
Dr. JOHN MOGANNAM
1411 E 31ST ST
OAKLAND, CA 94602-1018
Phone number: 510-437-4800
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Mailing Address
Dr. JOHN MOGANNAM
378 EMBARCADERO W UNIT 419
OAKLAND, CA 94607-4534
Phone number:
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