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1699784470
SER VANG
MODESTO, CA
NPI
1699784470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: CA PA18050)
Enumeration Date
2006-08-07
Last Update Date
2015-01-30
Business Address
SER VANG P.A.-C.
1441 FLORIDA AVE
MODESTO, CA 95350-4405
Phone number: 209-578-1211
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Mailing Address
SER VANG P.A.-C.
2100 POWELL ST STE 900
EMERYVILLE, CA 94608-1826
Phone number: 510-350-2600
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