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1215258371
EDWARD VERCELES
OAKLAND, CA
NPI
1215258371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: CA 20A12997)
Enumeration Date
2010-06-11
Last Update Date
2021-05-06
Business Address
EDWARD VERCELES D.O.
411 30TH ST STE 314
OAKLAND, CA 94609-3312
Phone number: 530-400-2463
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Mailing Address
EDWARD VERCELES D.O.
155 SAINT GERMAIN LN
PLEASANT HILL, CA 94523-1135
Phone number: 530-400-2463
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