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1215329396
BERNADETTE HYSTAD
SACRAMENTO, CA
NPI
1215329396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA PA52305)
Enumeration Date
2015-02-26
Last Update Date
2015-09-09
Business Address
-- BERNADETTE HYSTAD
2221 STOCKTON BLVD 2112
SACRAMENTO, CA 95817-1418
Phone number: 916-734-7255
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Mailing Address
-- BERNADETTE HYSTAD
2221 STOCKTON BLVD 2112
SACRAMENTO, CA 95817-1418
Phone number: 916-734-7255
Copy
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