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1215045059
GUSTAVO SALAS
SACRAMENTO, CA
NPI
1215045059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA17738)
Enumeration Date
2006-08-29
Last Update Date
2011-03-17
Business Address
-- GUSTAVO SALAS PA
2801 "L" STREET
SACRAMENTO, CA 95816
Phone number: 916-733-3003
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Mailing Address
-- GUSTAVO SALAS PA
P.O. BOX 12020
WESTMINSTER, CA 92685-2020
Phone number: 888-556-5617
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