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1801536784
MICHAEL ALEXANDER MEDINA
FULLERTON, CA
NPI
1801536784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 61254)
Enumeration Date
2022-03-30
Last Update Date
2023-11-13
Business Address
MICHAEL ALEXANDER MEDINA PA
100 E VALENCIA MESA DR STE 310
FULLERTON, CA 92835-3800
Phone number: 714-734-3120
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Mailing Address
MICHAEL ALEXANDER MEDINA PA
100 E VALENCIA MESA DR STE 310
FULLERTON, CA 92835-3800
Phone number: 714-734-3120
Copy
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