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1255549010
MELVIN ANTHONY TERRY
BERKELEY, CA
NPI
1255549010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA PT7882)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- MELVIN ANTHONY TERRY P.T.
TANG CTR 2222 BANCROFT WAY
BERKELEY, CA 94720-4300
Phone number: 510-543-0697
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Mailing Address
-- MELVIN ANTHONY TERRY P.T.
2181 MAGELLAN DR
OAKLAND, CA 94611-2639
Phone number: 510-339-6033
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