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1578970265
BRYAN MOTA
SAN BERNARDINO, CA
NPI
1578970265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 51622)
Enumeration Date
2014-07-15
Last Update Date
2014-11-18
Business Address
-- BRYAN MOTA
1800 MEDICAL CENTER DR SUITE 99
SAN BERNARDINO, CA 92411-1218
Phone number: 909-880-6400
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Mailing Address
-- BRYAN MOTA
15842 ATHOL ST
FONTANA, CA 92335-4478
Phone number:
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