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1700931631
OMAR COLTRANE STAPLES
OAKLAND, CA
NPI
1700931631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA16192)
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
Mr. OMAR COLTRANE STAPLES P.A.
5709 MARKET ST
OAKLAND, CA 94608-2811
Phone number: 510-444-9460
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Mailing Address
Mr. OMAR COLTRANE STAPLES P.A.
5709 MARKET ST
OAKLAND, CA 94608-2811
Phone number: 510-444-9460
Copy
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