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1245373992
CHARLES A AMEZCUA
SANTA ROSA, CA
NPI
1245373992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0101X Pathology, Anatomic Pathology
(Licence: CA G81183)
Enumeration Date
2007-02-14
Last Update Date
2022-02-11
Business Address
-- CHARLES A AMEZCUA M.D.
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403-2149
Phone number: 707-571-4686
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Mailing Address
-- CHARLES A AMEZCUA M.D.
2800 SAINT PAUL DR APT. 241
SANTA ROSA, CA 95405-8542
Phone number: 707-528-1980
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