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1346941317
BREANNE KELLY WALTER
OAKLAND, CA
NPI
1346941317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA62472)
Enumeration Date
2023-03-15
Last Update Date
2023-03-15
Business Address
BREANNE KELLY WALTER PA-C
747 52ND ST
OAKLAND, CA 94609-1809
Phone number: 510-428-3000
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Mailing Address
BREANNE KELLY WALTER PA-C
3100 TELEGRAPH AVE
OAKLAND, CA 94609-3239
Phone number: 800-607-6377
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