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1194700658
TONY MORALEZ
RIVERSIDE, CA
NPI
1194700658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA11641)
Enumeration Date
2005-12-07
Last Update Date
2011-01-03
Business Address
-- TONY MORALEZ PA
7117 BROCKTON AVE
RIVERSIDE, CA 92506-2615
Phone number: 951-782-3853
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Mailing Address
-- TONY MORALEZ PA
3660 ARLINGTON AVE
RIVERSIDE, CA 92506-3912
Phone number: 951-782-5110
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