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1407228208
DALE THOMAS RISENHOOVER
SACRAMENTO, CA
NPI
1407228208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA52935)
Enumeration Date
2015-10-20
Last Update Date
2022-01-03
Business Address
-- DALE THOMAS RISENHOOVER PA-C
1500 21ST ST
SACRAMENTO, CA 95811-5216
Phone number: 916-443-3299
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Mailing Address
-- DALE THOMAS RISENHOOVER PA-C
1500 21ST ST
SACRAMENTO, CA 95811-5216
Phone number: 916-443-3299
Copy
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