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1437495959
BRYAN MALCOLM
TRAVIS AFB, CA
NPI
1437495959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: CA 59403)
Enumeration Date
2013-01-02
Last Update Date
2022-02-17
Business Address
BRYAN MALCOLM PA
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-3825
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Mailing Address
BRYAN MALCOLM PA
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-3825
Copy
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