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1154737492
IZOLA MARY CHANEY
RIVERSIDE, CA
NPI
1154737492
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Former Name
IZOLA MARY PHILLIPS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 22885)
Enumeration Date
2014-07-08
Last Update Date
2022-02-17
Business Address
IZOLA MARY CHANEY PA-C
21830 CACTUS AVE STE 302
RIVERSIDE, CA 92518-3010
Phone number: 951-653-5291
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Mailing Address
IZOLA MARY CHANEY PA-C
21830 CACTUS AVE STE 302
RIVERSIDE, CA 92518-3010
Phone number: 951-653-5291
Copy
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