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1386941029
DOUGLAS BEAZLEY
OAKLAND, CA
NPI
1386941029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 665459)
Enumeration Date
2011-02-15
Last Update Date
2011-02-15
Business Address
-- DOUGLAS BEAZLEY NP
1030 INTERNATIONAL BLVD
OAKLAND, CA 94606-3730
Phone number: 510-238-5400
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Mailing Address
-- DOUGLAS BEAZLEY NP
PO BOX 22210
OAKLAND, CA 94623-2210
Phone number: 510-535-4000
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