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1417613985
IMAN MATTOX
OAKLAND, CA
NPI
1417613985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95199822)
Enumeration Date
2021-11-09
Last Update Date
2021-11-09
Business Address
IMAN MATTOX RN
3100 TELEGRAPH AVE
OAKLAND, CA 94609-3239
Phone number: 510-879-9200
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Mailing Address
IMAN MATTOX RN
28078 THORUP LN
HAYWARD, CA 94542-2439
Phone number: 510-885-0540
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