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Kory Frasure

NPI 1063030161 · on the registry since 2020

Practice

Address
477 Callan Ave
San Leandro, CA 94577
Phone
(818) 241-6853
Clinicians at this address
21

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-07-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California