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1467474908
GARY DUANE NELSON
ROSEVILLE, CA
NPI
1467474908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA11919)
Enumeration Date
2006-07-24
Last Update Date
2007-10-26
Business Address
-- GARY DUANE NELSON P.A-C
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661-3037
Phone number: 916-781-1000
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Mailing Address
-- GARY DUANE NELSON P.A-C
2100 POWELL ST STE 900
EMERYVILLE, CA 94608-1826
Phone number: 510-350-2600
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