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1811459456
JONATHAN MELTON LISH
SAN BRUNO, CA
NPI
1811459456
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Other Name
JONATHAN LISH
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A177373)
Enumeration Date
2019-04-03
Last Update Date
2024-11-21
Business Address
Dr. JONATHAN MELTON LISH MD
851 CHERRY AVE STE 4
SAN BRUNO, CA 94066-2953
Phone number: 650-273-9412
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Mailing Address
Dr. JONATHAN MELTON LISH MD
PO BOX 276950
SACRAMENTO, CA 95827-6950
Phone number: 650-273-9412
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