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1316776222
IVAN M ROSAS
SANTA MARIA, CA
NPI
1316776222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-07-29
Last Update Date
2024-11-18
Business Address
IVAN M ROSAS PA-S
1075 E BETTERAVIA RD STE 201
SANTA MARIA, CA 93454-7023
Phone number: 805-621-7714
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Mailing Address
IVAN M ROSAS PA-S
97 BIANCA WAY
OLD FORGE, PA 18518-2136
Phone number: 203-962-3402
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