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1518270040
RANDY M VILLANUEVA
VALLEJO, CA
NPI
1518270040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA 20A11659)
Enumeration Date
2010-07-26
Last Update Date
2022-02-11
Business Address
Dr. RANDY M VILLANUEVA D.O.
975 SERENO DR
VALLEJO, CA 94589-2441
Phone number: 707-651-2440
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Mailing Address
Dr. RANDY M VILLANUEVA D.O.
517 LANSING CIR
BENICIA, CA 94510-3974
Phone number: 707-742-4292
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