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1629170592
JOHN DAVID STACK
OROVILLE, CA
NPI
1629170592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA13683)
Enumeration Date
2006-09-02
Last Update Date
2011-02-11
Business Address
-- JOHN DAVID STACK PA
1611 FEATHER RIVER BLVD SUITE #10
OROVILLE, CA 98685
Phone number: 530-534-4530
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Mailing Address
-- JOHN DAVID STACK PA
PO BOX 5040
OROVILLE, CA 95966
Phone number: 530-532-8584
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