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1811901960
TIMOTHY SOCHETA SO
LONG BEACH, CA
NPI
1811901960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA Pa13276)
Enumeration Date
2006-07-27
Last Update Date
2009-10-14
Business Address
-- TIMOTHY SOCHETA SO PA
1627 E. ANAHEIM STREET
LONG BEACH, CA 90813-3809
Phone number: 562-437-0373
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Mailing Address
-- TIMOTHY SOCHETA SO PA
200 OCEANGATE STE #100
LONG BEACH, CA 90802-4317
Phone number: 562-499-6191
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