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1477300978
LYAH ALEXANDRA CASTLEBERRY
MODESTO, CA
NPI
1477300978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA65324)
Enumeration Date
2024-05-02
Last Update Date
2024-10-31
Business Address
LYAH ALEXANDRA CASTLEBERRY
2804 ESTA AVE
MODESTO, CA 95355-8626
Phone number: 209-777-8511
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Mailing Address
LYAH ALEXANDRA CASTLEBERRY
2804 ESTA AVE
MODESTO, CA 95355-8626
Phone number:
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