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1578830253
LEONID ALEX PUGACH
RICHMOND, CA
NPI
1578830253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA 18605)
Enumeration Date
2011-11-22
Last Update Date
2011-11-22
Business Address
Mr. LEONID ALEX PUGACH PA
2970 HILLTOP MALL RD SUITE 200
RICHMOND, CA 94806-1947
Phone number: 510-724-4586
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Mailing Address
Mr. LEONID ALEX PUGACH PA
1055 DELLWOOD CT
BRENTWOOD, CA 94513-1841
Phone number: 510-724-4586
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