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1396459624
JUSTIN DURHAM
REDDING, CA
NPI
1396459624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 62271)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2023-01-11
Last Update Date
2023-02-13
Business Address
JUSTIN DURHAM PA
2175 ROSALINE AVE
REDDING, CA 96001-2549
Phone number: 530-225-6000
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Mailing Address
JUSTIN DURHAM PA
23567 MADISON AVE
MURRIETA, CA 92562-6013
Phone number:
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