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1437624764
CHAZ VINK
RIVERSIDE, CA
NPI
1437624764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA56136)
Enumeration Date
2018-10-13
Last Update Date
2023-02-18
Business Address
CHAZ VINK PA
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501-4135
Phone number: 951-788-3000
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Mailing Address
CHAZ VINK PA
400 LAKESIDE AVE
REDLANDS, CA 92373-5759
Phone number: 925-639-2358
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