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1578547782
FIDEL ANDRADE
FOUNTAIN VALLEY, CA
NPI
1578547782
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA 13293)
Enumeration Date
2005-12-01
Last Update Date
2018-01-17
Business Address
MR. FIDEL ANDRADE PA
11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708-2529
Phone number: 714-549-1300
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Mailing Address
MR. FIDEL ANDRADE PA
17360 BROOKHURST STREET ATTN: CREDENTIALING DEPARTMENT
FOUNTAIN VALLEY, CA 92708-3720
Phone number: 657-241-3592
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