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1467984096
ROTH BUN EA
DAVIS, CA
NPI
1467984096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: CA E5893)
Enumeration Date
2017-04-02
Last Update Date
2022-12-02
Business Address
ROTH BUN EA
635 ANDERSON RD STE 19
DAVIS, CA 95616-3505
Phone number: 530-758-1810
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Mailing Address
ROTH BUN EA
635 ANDERSON RD STE 19
DAVIS, CA 95616-3505
Phone number: 530-758-1810
Copy
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