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1295210995
BRIAN CHRISTOPHER VASSALO
BERKELEY, CA
NPI
1295210995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 95010119)
Enumeration Date
2018-09-27
Last Update Date
2018-09-27
Business Address
BRIAN CHRISTOPHER VASSALO
1528 WOOLSEY ST APT D
BERKELEY, CA 94703-2353
Phone number: 510-999-2728
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Mailing Address
BRIAN CHRISTOPHER VASSALO
1528 WOOLSEY ST APT D
BERKELEY, CA 94703-2353
Phone number: 510-999-2728
Copy
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