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1275869760
SAMUEL ANTONIO ESTRADA
STOCKTON, CA
NPI
1275869760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA20550)
Enumeration Date
2009-10-19
Last Update Date
2010-05-25
Business Address
SAMUEL ANTONIO ESTRADA P.A.
2545 W HAMMER LN
STOCKTON, CA 95209-2839
Phone number: 209-957-7050
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Mailing Address
SAMUEL ANTONIO ESTRADA P.A.
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-521-6097
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