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1568460608
ANTHONY MAX ROUSSELOT
ARCATA, CA
NPI
1568460608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA13540)
Enumeration Date
2005-07-12
Last Update Date
2022-09-14
Business Address
ANTHONY MAX ROUSSELOT PA-C
1600 WEEOT WAY
ARCATA, CA 95521-4734
Phone number: 707-825-5010
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Mailing Address
ANTHONY MAX ROUSSELOT PA-C
1600 WEEOT WAY
ARCATA, CA 95521-4734
Phone number: 707-825-5010
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