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1104101401
LUIS E GARCIA
SANTA ROSA, CA
NPI
1104101401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: CA PA21935)
Enumeration Date
2011-10-18
Last Update Date
2021-02-01
Business Address
LUIS E GARCIA PA
208 CONCOURSE BLVD
SANTA ROSA, CA 95403-8210
Phone number: 707-544-3400
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Mailing Address
LUIS E GARCIA PA
208 CONCOURSE BLVD
SANTA ROSA, CA 95403-8210
Phone number: 707-544-3400
Copy
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