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Individual

ELMER GRANT MCDOUGALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
921 LINCOLN WAY, SAN FRANCISCO, CA 94122-2210
(415) 664-1414
Mailing address
368 FELL ST, SAN FRANCISCO, CA 94102-5144
(415) 861-0828
(415) 861-0140

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
Primary

Other

Enumeration date
09/30/2022
Last updated
06/21/2023
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