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1275938748
CLEIBAN HERNAN VEGA
MODESTO, CA
NPI
1275938748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 52012)
Enumeration Date
2014-10-27
Last Update Date
2015-01-10
Business Address
-- CLEIBAN HERNAN VEGA P.A-C
1234 MCHENRY AVE
MODESTO, CA 95350-5373
Phone number: 209-544-2554
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Mailing Address
-- CLEIBAN HERNAN VEGA P.A-C
1234 MCHENRY AVE
MODESTO, CA 95350-5373
Phone number: 209-544-2554
Copy
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