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1417034489
GARY VANETSKY
ENCINITAS, CA
NPI
1417034489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA15456)
Enumeration Date
2006-11-01
Last Update Date
2016-04-22
Business Address
-- GARY VANETSKY PA-C
477 N EL CAMINO REAL C-312
ENCINITAS, CA 92024-1328
Phone number: 760-436-2300
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Mailing Address
-- GARY VANETSKY PA-C
2285 CORPORATE CIR STE 200
HENDERSON, NV 89074-7759
Phone number: 702-360-2763
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