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1396853065
RICARDO BRAVO
SAN DIEGO, CA
NPI
1396853065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA13315)
Enumeration Date
2006-08-25
Last Update Date
2007-07-08
Business Address
-- RICARDO BRAVO PA
3490 PALM AVE
SAN DIEGO, CA 92154-1664
Phone number: 619-423-5616
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Mailing Address
-- RICARDO BRAVO PA
1072 GRANADA WAY
CHULA VISTA, CA 91910-8707
Phone number: 619-656-6643
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