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1558190751
JAZMIN WISE
OAKLAND, CA
NPI
1558190751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: CA 95020648)
Enumeration Date
2024-07-29
Last Update Date
2024-07-29
Business Address
JAZMIN WISE
275 W MACARTHUR BLVD
OAKLAND, CA 94611-5641
Phone number: 510-752-1000
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Mailing Address
JAZMIN WISE
484 LAKE PARK AVE # 115
OAKLAND, CA 94610-2730
Phone number:
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