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1154459709
ISAAC NATHANIEL HENRY
HEMET, CA
NPI
1154459709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA19039)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
Mr. ISAAC NATHANIEL HENRY PA-C
1001 S STATE ST
HEMET, CA 92543-7186
Phone number: 951-925-2525
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Mailing Address
Mr. ISAAC NATHANIEL HENRY PA-C
32206 ONE HALF LAKEVIEW TERRACE
LAKE ELSINORE, CA 92530-0534
Phone number: 951-445-6160
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