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1205079514
ANNA DAVILA
MODESTO, CA
NPI
1205079514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 013253)
Enumeration Date
2009-04-16
Last Update Date
2023-01-20
Business Address
ANNA DAVILA PA
1552 COFFEE RD STE 200
MODESTO, CA 95355-3122
Phone number: 209-248-7168
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Mailing Address
ANNA DAVILA PA
717 W ATHERTON DR APT 182
MANTECA, CA 95337-9530
Phone number: 347-665-8123
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