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1134230428
JOSE MARIO CORVERA
VISALIA, CA
NPI
1134230428
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA12505)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
-- JOSE MARIO CORVERA P.A-C
400 W MINERAL KING AVE
VISALIA, CA 93291-6237
Phone number: 559-624-2215
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Mailing Address
-- JOSE MARIO CORVERA P.A-C
2100 POWELL ST STE 900
EMERYVILLE, CA 94608-1826
Phone number: 510-350-2600
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