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1700225174
RANDALL JOSEPH PUNU POBLETE
FAIRFIELD, CA
NPI
1700225174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA23021)
Enumeration Date
2013-06-19
Last Update Date
2013-12-02
Business Address
MR. RANDALL JOSEPH PUNU POBLETE MSPAS, MPH, PA-C
275 BECK AVE
FAIRFIELD, CA 94533-6804
Phone number: 707-784-2028
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Mailing Address
MR. RANDALL JOSEPH PUNU POBLETE MSPAS, MPH, PA-C
275 BECK AVE PO BOX 4090 MS-5-240
FAIRFIELD, CA 94533-6804
Phone number: 707-784-2028
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