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1780941161
DAVID DREVNO
OAKLAND, CA
NPI
1780941161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA 21033)
Enumeration Date
2012-04-23
Last Update Date
2014-06-13
Business Address
-- DAVID DREVNO PNP
747 52ND ST
OAKLAND, CA 94609-1809
Phone number: 510-428-3058
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Mailing Address
-- DAVID DREVNO PNP
747 52ND ST GASTROENTEROLOGY
OAKLAND, CA 94609-1809
Phone number: 510-428-3058
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