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1093831117
CARLOS A CUELLAR
CHICO, CA
NPI
1093831117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA12339)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
-- CARLOS A CUELLAR PA-C
STUDENT HEALTH SERVICES CSU CHICO
CHICO, CA 95929-0001
Phone number: 530-898-5241
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Mailing Address
-- CARLOS A CUELLAR PA-C
5 DONNER LN
CHICO, CA 95928-4167
Phone number: 530-894-7354
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