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1174733265
RAY BURTON BLOSS
GLENDALE, CA
NPI
1174733265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA18262)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
Mr. RAY BURTON BLOSS PA-C
222 W EULALIA ST SUITE #101
GLENDALE, CA 91204-2849
Phone number: 818-246-4800
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Mailing Address
Mr. RAY BURTON BLOSS PA-C
15701 TULSA ST
GRANADA HILLS, CA 91344-5524
Phone number: 443-765-9149
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