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1710048319
JUAN CARLOS DEVILLA
SACRAMENTO, CA
NPI
1710048319
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 13664)
Enumeration Date
2006-12-13
Last Update Date
2007-07-08
Business Address
-- JUAN CARLOS DEVILLA PA
2025 MORSE AVE
SACRAMENTO, CA 95825-2115
Phone number: 916-973-5000
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Mailing Address
-- JUAN CARLOS DEVILLA PA
2025 MORSE AVE
SACRAMENTO, CA 95825-2115
Phone number:
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