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1760648117
MIKHAIL WENUTU FRASER-GRAY
TULARE, CA
NPI
1760648117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 19766)
Enumeration Date
2008-08-05
Last Update Date
2021-12-06
Business Address
-- MIKHAIL WENUTU FRASER-GRAY PA-C
869 N CHERRY ST
TULARE, CA 93274-2207
Phone number: 559-688-0821
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Mailing Address
-- MIKHAIL WENUTU FRASER-GRAY PA-C
111 N SEPULVEDA BLVD SUITE 210
MANHATTAN BEACH, CA 90266-6861
Phone number: 310-379-2134
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