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1720190580
STEPHEN LICATA
GREENBRAE, CA
NPI
1720190580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CA G80519)
Enumeration Date
2006-08-31
Last Update Date
2019-09-26
Business Address
STEPHEN LICATA M.D.
250 BON AIR RD
GREENBRAE, CA 94904-1702
Phone number: 415-925-7000
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Mailing Address
STEPHEN LICATA M.D.
PO BOX 527
LARKSPUR, CA 94977-0527
Phone number: 888-991-1101
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