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1386030955
STEPHANIE TANGSOMBATVISIT
OAKLAND, CA
NPI
1386030955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A146823)
Enumeration Date
2015-04-10
Last Update Date
2024-04-11
Business Address
STEPHANIE TANGSOMBATVISIT MD
3505 BROADWAY
OAKLAND, CA 94611-5798
Phone number: 510-752-2880
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Mailing Address
STEPHANIE TANGSOMBATVISIT MD
3505 BROADWAY
OAKLAND, CA 94611-5714
Phone number:
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