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1528427994
NATHANIEL GANDY LANE
SANTA ANA, CA
NPI
1528427994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 53182)
Enumeration Date
2016-02-15
Last Update Date
2016-02-15
Business Address
-- NATHANIEL GANDY LANE PA-C
420 S. BRISTOL ST.
SANTA ANA, CA 92703
Phone number: 714-541-5252
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Mailing Address
-- NATHANIEL GANDY LANE PA-C
420 S BRISTOL ST
SANTA ANA, CA 92703-4527
Phone number: 714-541-5252
Copy
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