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1831493113
VIDA VICKERS
POMONA, CA
NPI
1831493113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA20543)
Enumeration Date
2010-12-31
Last Update Date
2010-12-31
Business Address
Ms. VIDA VICKERS Physician Assistant
2112 S GAREY AVE STE C
POMONA, CA 91766-5600
Phone number: 909-464-0520
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Mailing Address
Ms. VIDA VICKERS Physician Assistant
2112 S GAREY AVE STE C
POMONA, CA 91766-5600
Phone number: 909-464-0520
Copy
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