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1629018965
ANTHONY T VENNIK
ROSEVILLE, CA
NPI
1629018965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA17912)
Enumeration Date
2006-06-07
Last Update Date
2007-07-08
Business Address
-- ANTHONY T VENNIK P.A.-C
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661-3037
Phone number: 916-781-1000
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Mailing Address
-- ANTHONY T VENNIK P.A.-C
2100 POWELL STREET SUITE 900
EMERYVILLE, CA 94608-1803
Phone number: 510-350-2600
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