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1700056637
JULIAN TELLEZ
DUARTE, CA
NPI
1700056637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: CA PA 19320)
Enumeration Date
2008-03-06
Last Update Date
2010-12-21
Business Address
JULIAN TELLEZ PA-C
931 BUENA VISTA ST SUITE 205
DUARTE, CA 91010-1712
Phone number: 626-358-1897
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Mailing Address
JULIAN TELLEZ PA-C
931 BUENA VISTA ST STE 205 SUITE 205
DUARTE, CA 91010-1713
Phone number: 626-358-1897
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