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1184374605
EDSEL EMBRY
STOCKTON, CA
NPI
1184374605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-27
Last Update Date
2022-03-27
Business Address
EDSEL EMBRY MD
1800 N CALIFORNIA ST
STOCKTON, CA 95204-6019
Phone number: 209-547-7177
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Mailing Address
EDSEL EMBRY MD
1800 N CALIFORNIA ST
STOCKTON, CA 95204-6019
Phone number: 209-547-7177
Copy
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