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1326123092
DEWATE SUMETANON
FREMONT, CA
NPI
1326123092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA A80074)
Enumeration Date
2006-10-25
Last Update Date
2021-12-13
Business Address
DEWATE SUMETANON MD
39400 PASEO PADRE PKWY
FREMONT, CA 94538-2310
Phone number: 510-795-3000
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Mailing Address
DEWATE SUMETANON MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3466
Phone number: 510-625-6262
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