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1255434452
SUSANA JUDITH PRAVER
OAKLAND, CA
NPI
1255434452
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Other Name
SHOSHANA JUDITH PRAVER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA10842)
Enumeration Date
2006-09-06
Last Update Date
2010-08-06
Business Address
-- SUSANA JUDITH PRAVER PAC
3451 E 12TH ST
OAKLAND, CA 94601
Phone number: 510-535-3317
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Mailing Address
-- SUSANA JUDITH PRAVER PAC
1601 FRUITVALE AVE
OAKLAND, CA 94601-2322
Phone number: 510-535-4000
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