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1710322664
ALLYSE WHARTON
OAKLAND, CA
NPI
1710322664
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Former Name
ALLYSE FIDLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA22900)
Enumeration Date
2013-05-06
Last Update Date
2016-07-25
Business Address
-- ALLYSE WHARTON PA-C
350 30TH ST
OAKLAND, CA 94609-3424
Phone number: 510-465-6700
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Mailing Address
-- ALLYSE WHARTON PA-C
2 EMBARCADERO CTR LBBY LEVEL SUITE 100
SAN FRANCISCO, CA 94111-3823
Phone number: 415-578-3100
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