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1215026760
COSMO LYLE FRASER
YUBA CITY, CA
NPI
1215026760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: CA C40203)
Enumeration Date
2006-10-12
Last Update Date
2023-10-30
Business Address
Mr. COSMO LYLE FRASER MD
2115 E ONSTOTT RD
YUBA CITY, CA 95991-1556
Phone number: 530-751-0339
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Mailing Address
Mr. COSMO LYLE FRASER MD
220 STANDIFORD AVE STE F
MODESTO, CA 95350-1159
Phone number: 209-579-5628
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