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1205554672
YAO SU
PORTERVILLE, CA
NPI
1205554672
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Other Name
JOHN SU
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA61758)
Enumeration Date
2022-08-21
Last Update Date
2023-01-26
Business Address
YAO SU
465 W PUTNAM AVE
PORTERVILLE, CA 93257-3320
Phone number: 559-784-1110
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Mailing Address
YAO SU
465 W PUTNAM AVE
PORTERVILLE, CA 93257-3320
Phone number: 559-784-1110
Copy
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