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1245687052
CARLOS J PENA
WOODLAND, CA
NPI
1245687052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA53458)
Enumeration Date
2016-05-21
Last Update Date
2016-08-18
Business Address
-- CARLOS J PENA PA-C
1325 COTTONWOOD ST
WOODLAND, CA 95695-5131
Phone number: 530-662-3961
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Mailing Address
-- CARLOS J PENA PA-C
134 ELM ST
WOODLAND, CA 95695-3230
Phone number:
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