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1821574625
EDITHA C SETIAWAN
WOODLAND, CA
NPI
1821574625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA PA55606)
Enumeration Date
2018-07-14
Last Update Date
2018-07-14
Business Address
Ms. EDITHA C SETIAWAN PA-C
2081 BRONZE STAR DR
WOODLAND, CA 95776-5423
Phone number: 530-668-2600
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Mailing Address
Ms. EDITHA C SETIAWAN PA-C
5309 L ST
SACRAMENTO, CA 95819-3933
Phone number: 530-220-0834
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