OMAR COLTRANE STAPLES

OAKLAND, CA
NPI1700931631
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA16192)
Enumeration Date2007-01-23
Last Update Date2007-07-08
Business Address
Mr. OMAR COLTRANE STAPLES P.A.
5709 MARKET ST
OAKLAND, CA 94608-2811
Phone number: 510-444-9460
Mailing Address
Mr. OMAR COLTRANE STAPLES P.A.
5709 MARKET ST
OAKLAND, CA 94608-2811
Phone number: 510-444-9460
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