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1790332245
JOHN CLAYTON ZIMBARDO
RAPID CITY, SD
NPI
1790332245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: SD 1308)
Enumeration Date
2019-08-20
Last Update Date
2021-09-14
Business Address
JOHN CLAYTON ZIMBARDO
2805 5TH ST
RAPID CITY, SD 57701-6003
Phone number: 605-755-5700
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Mailing Address
JOHN CLAYTON ZIMBARDO
3300 PEARL CIR
SIMI VALLEY, CA 93063-1540
Phone number: 805-630-0816
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