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1679513840
TIMOTHY L SHORTNACY
VISALIA, CA
NPI
1679513840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA13466)
Enumeration Date
2006-06-07
Last Update Date
2007-07-08
Business Address
Mr. TIMOTHY L SHORTNACY PA
400 W MINERAL KING AVE
VISALIA, CA 93291-6237
Phone number: 559-624-2215
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Mailing Address
Mr. TIMOTHY L SHORTNACY PA
400 W MINERAL KING AVE
VISALIA, CA 93291-6237
Phone number: 559-624-2215
Copy
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