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1194380253
EDGAR IVAN MERCADO
FRESNO, CA
NPI
1194380253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363A00000X Physician Assistant
(Licence: CA PA57015)
Enumeration Date
2019-05-04
Last Update Date
2024-10-15
Business Address
EDGAR IVAN MERCADO PA-C
1350 O ST STE 202
FRESNO, CA 93721-1828
Phone number: 559-369-4625
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Mailing Address
EDGAR IVAN MERCADO PA-C
1350 O ST STE 202
FRESNO, CA 93721-1828
Phone number: 559-369-4625
Copy
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