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1154332492
OCTAVIO FRIAS PENALOZA
YUBA CITY, CA
NPI
1154332492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA12685)
Enumeration Date
2006-08-11
Last Update Date
2019-05-10
Business Address
OCTAVIO FRIAS PENALOZA PA-C
1531 PLUMAS CT STE B
YUBA CITY, CA 95991-2966
Phone number: 530-751-4900
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Mailing Address
OCTAVIO FRIAS PENALOZA PA-C
PO BOX 3067
YUBA CITY, CA 95992-3067
Phone number: 530-751-4784
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