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1083792501
ANA RUTH REVILLA
STOCKTON, CA
NPI
1083792501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A81029)
Enumeration Date
2006-11-01
Last Update Date
2012-01-30
Business Address
Dr. ANA RUTH REVILLA M.D.
701 E CHANNEL ST
STOCKTON, CA 95202-2628
Phone number: 209-944-4700
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Mailing Address
Dr. ANA RUTH REVILLA M.D.
PO BOX 779
STOCKTON, CA 95201-0779
Phone number: 209-373-2800
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