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Individual

CHARLES L. TATUM II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1153 OAK ST, SAN FRANCISCO, CA 94117-2216
(415) 431-9000
(415) 431-6527
Mailing address
1153 OAK ST, SAN FRANCISCO, CA 94117-2216
(415) 431-9000
(415) 431-6527

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/10/2014
Last updated
04/10/2014
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