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1528196326
GRACE G LAT
OAKLAND, CA
NPI
1528196326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: CA A5590)
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
-- GRACE G LAT M.D.
6599 FOOTHILL BLVD.
OAKLAND, CA 94605
Phone number: 510-567-5700
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Mailing Address
-- GRACE G LAT M.D.
2709 CHERRY BLOSSOM WAY
UNION CITY, CA 94587-4911
Phone number: 510-429-0933
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