OSMAN WAGILLA

EMERYVILLE, CA
NPI1013081496
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA18417)
Enumeration Date2006-11-20
Last Update Date2008-02-05
Business Address
-- OSMAN WAGILLA
2100 POWELL ST SUITE 900
EMERYVILLE, CA 94608-1826
Phone number: 510-350-2600
Mailing Address
-- OSMAN WAGILLA
207 W LEGION RD
BRAWLEY, CA 92227-7780
Phone number: 760-351-3333
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