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1174119598
KERY LUO
MANTECA, CA
NPI
1174119598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA59226)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2020-12-19
Last Update Date
2022-11-06
Business Address
KERY LUO
1205 E NORTH ST
MANTECA, CA 95336-4932
Phone number: 209-823-3111
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Mailing Address
KERY LUO
1205 E NORTH ST
MANTECA, CA 95336-4932
Phone number: 209-823-3111
Copy
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