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1184363608
ANTHONY CORONADO
MODESTO, CA
NPI
1184363608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA61181)
Enumeration Date
2022-06-02
Last Update Date
2022-12-09
Business Address
ANTHONY CORONADO
4601 DALE RD
MODESTO, CA 95356-9718
Phone number: 209-735-5000
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Mailing Address
ANTHONY CORONADO
PO BOX 630
WALNUT GROVE, CA 95690-0630
Phone number: 559-978-1006
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