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Individual

DEBORAH WYATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3801 SACRAMENTO ST, 2ND FLOOR, SAN FRANCISCO, CA 94118-1625
(415) 600-2403
(415) 600-6304
Mailing address
PO BOX 254947, SACRAMENTO, CA 95865-4947
(916) 854-6975
(916) 854-6844

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A49664
CA

Other

Enumeration date
07/24/2006
Last updated
12/10/2010
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