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1235206350
J LANE TANNER
OAKLAND, CA
NPI
1235206350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics
(Licence: CA G28611)
Enumeration Date
2006-11-30
Last Update Date
2007-07-08
Business Address
-- J LANE TANNER MD
747 52ND ST CHRCO CHILD DEVELOPMENT CENTER
OAKLAND, CA 94609-1809
Phone number: 510-428-3351
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Mailing Address
-- J LANE TANNER MD
747 52ND ST CHRCO CHILD DEVELOPMENT CENTER
OAKLAND, CA 94609-1809
Phone number: 510-428-3351
Copy
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