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1225302995
RYAN WADA
COLTON, CA
NPI
1225302995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA22150)
Enumeration Date
2012-02-28
Last Update Date
2012-10-31
Business Address
-- RYAN WADA PA-C
400 N PEPPER AVE SUITE #1M107
COLTON, CA 92324-1801
Phone number: 909-580-2178
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Mailing Address
-- RYAN WADA PA-C
2100 POWELL ST SUITE 900
EMERYVILLE, CA 94608-1826
Phone number: 510-350-2673
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