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1508934860
EDWIN G VENTOCILLA
SACRAMENTO, CA
NPI
1508934860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA16349)
Enumeration Date
2006-12-02
Last Update Date
2023-01-06
Business Address
EDWIN G VENTOCILLA PA-C
6339 MACK RD
SACRAMENTO, CA 95823-4655
Phone number: 916-454-2345
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Mailing Address
EDWIN G VENTOCILLA PA-C
1860 HOWE AVE STE 440
SACRAMENTO, CA 95825-1098
Phone number: 916-569-8484
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