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1720489289
YI BU
COLTON, CA
NPI
1720489289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 51912)
Enumeration Date
2014-09-15
Last Update Date
2014-09-15
Business Address
-- YI BU PA
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3390
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Mailing Address
-- YI BU PA
12512 CAMARERO CT
SAN DIEGO, CA 92130-2279
Phone number: 858-334-8638
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