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1043315880
DOUGLAS GORDON MCCARTY
MORENO VALLEY, CA
NPI
1043315880
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Former Name
DOUG GORDON MCCARTY
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA11412)
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
Mr. DOUGLAS GORDON MCCARTY Physican Assistant
12980 FREDERICK ST STE I
MORENO VALLEY, CA 92553-5263
Phone number: 951-924-3244
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Mailing Address
Mr. DOUGLAS GORDON MCCARTY Physican Assistant
PO BOX 1958 32382 PINE MANOR LANE
RUNNING SPRINGS, CA 92382-1958
Phone number: 909-800-1121
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