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1134246200
STEVEN STAR
GRASS VALLEY, CA
NPI
1134246200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA11729)
Enumeration Date
2007-03-23
Last Update Date
2011-12-23
Business Address
-- STEVEN STAR PA
1345 WHISPERING PINES LN
GRASS VALLEY, CA 95945-5952
Phone number: 530-273-4984
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Mailing Address
-- STEVEN STAR PA
BOX 729
GRASS VALLEY, CA 95945
Phone number:
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