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1356622708
FERNANDO ESPARZA AVILA
MODESTO, CA
NPI
1356622708
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2011-08-30
Last Update Date
2011-12-15
Business Address
-- FERNANDO ESPARZA AVILA PA
1114 6TH ST
MODESTO, CA 95354-2203
Phone number: 209-576-2845
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Mailing Address
-- FERNANDO ESPARZA AVILA PA
737 W CHILDS AVE
MERCED, CA 95341-6805
Phone number: 209-383-1848
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