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1619130812
FREDERICK LAMOND TATUM
SAN LEANDRO, CA
NPI
1619130812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA INTERIM PERMIT 1)
Enumeration Date
2008-07-08
Last Update Date
2008-07-08
Business Address
FREDERICK LAMOND TATUM RN MS
2275 ARLINGTON DRIVE
SAN LEANDRO, CA 94578
Phone number: 510-317-1444
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Mailing Address
FREDERICK LAMOND TATUM RN MS
2275 ARLINGTON DRIVE
SAN LEANDRO, CA 94578
Phone number: 510-317-1444
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