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1093056525
MARTIN CEBALLOS
FRENCH CAMP, CA
NPI
1093056525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 22222)
Enumeration Date
2013-03-07
Last Update Date
2014-07-14
Business Address
MARTIN CEBALLOS P.A.
500 W HOSPITAL RD
FRENCH CAMP, CA 95231-9693
Phone number: 209-468-6000
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Mailing Address
MARTIN CEBALLOS P.A.
7004 DANBERG WAY
ELK GROVE, CA 95757-4006
Phone number: 209-468-6000
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