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1134252653
DAVID L GINGRICH
SAN LUIS OBISPO, CA
NPI
1134252653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA17191)
Enumeration Date
2007-03-13
Last Update Date
2011-08-26
Business Address
Mr. DAVID L GINGRICH PA
47 SANTA ROSA ST
SAN LUIS OBISPO, CA 93405-5816
Phone number: 805-542-9596
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Mailing Address
Mr. DAVID L GINGRICH PA
47 SANTA ROSA ST
SAN LUIS OBISPO, CA 93405-5816
Phone number: 805-542-9596
Copy
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