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1245463108
ANTHONY TKAC
MOUNTAIN VIEW, CA
NPI
1245463108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA20482)
Enumeration Date
2009-08-26
Last Update Date
2009-08-26
Business Address
-- ANTHONY TKAC PA-C
2500 GRANT RD
MOUNTAIN VIEW, CA 94040-4302
Phone number: 650-940-7055
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Mailing Address
-- ANTHONY TKAC PA-C
2100 POWELL ST STE 900
EMERYVILLE, CA 94608-1826
Phone number: 510-350-2600
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