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1821234816
RAUL MARK MIRANDA GRAGEDA
OAKLAND, CA
NPI
1821234816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 35173)
Enumeration Date
2008-12-23
Last Update Date
2013-01-07
Business Address
Mr. RAUL MARK MIRANDA GRAGEDA
7817 OAKPORT STREET
OAKLAND, CA 94621
Phone number: 510-638-0811
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Mailing Address
Mr. RAUL MARK MIRANDA GRAGEDA
885 DUNCAN STREET
SAN FRANCISCO, CA 94131
Phone number: 415-796-2900
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