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1093304214
MICHAEL ANANTIYO
NATIONAL CITY, CA
NPI
1093304214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA59284)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2021-01-12
Last Update Date
2024-04-24
Business Address
MICHAEL ANANTIYO PA
1510 SWEETWATER RD STE B
NATIONAL CITY, CA 91950-7643
Phone number: 619-552-2870
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Mailing Address
MICHAEL ANANTIYO PA
7617 E HOLLOW OAK RD
ANAHEIM, CA 92808-1426
Phone number: 714-906-4685
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