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1780107169
COLIN GLYNN CUSICK
ANTIOCH, CA
NPI
1780107169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 54485)
Enumeration Date
2017-07-18
Last Update Date
2017-07-18
Business Address
COLIN GLYNN CUSICK PHYSICIAN ASSISTANT
3901 LONE TREE WAY
ANTIOCH, CA 94509-6200
Phone number: 925-779-7200
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Mailing Address
COLIN GLYNN CUSICK PHYSICIAN ASSISTANT
8238 GOLF LINKS RD
OAKLAND, CA 94605-3537
Phone number: 313-268-4906
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