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1184605396
PAUL ROGER ANDERSON
TRACY, CA
NPI
1184605396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA PA15414)
Enumeration Date
2005-11-07
Last Update Date
2008-05-09
Business Address
-- PAUL ROGER ANDERSON PA
1420 N TRACY BLVD
TRACY, CA 95376-3451
Phone number: 209-342-2300
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Mailing Address
-- PAUL ROGER ANDERSON PA
4301 NORTHSTAR WAY
MODESTO, CA 95356-9262
Phone number: 209-342-2300
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