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1285914507
WALLACE ANDREW LAFONT
OAKLAND, CA
NPI
1285914507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2011-08-17
Last Update Date
2011-08-23
Business Address
-- WALLACE ANDREW LAFONT
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-653-5040
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Mailing Address
-- WALLACE ANDREW LAFONT
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-653-5040
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