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1831753912
ALEX FIDLER
SAN FRANCISCO, CA
NPI
1831753912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 56046)
Enumeration Date
2019-04-24
Last Update Date
2019-04-24
Business Address
ALEX FIDLER
1101 VAN NESS AVE
SAN FRANCISCO, CA 94109-6919
Phone number: 415-600-1010
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Mailing Address
ALEX FIDLER
3611 UNIVERSITY DR APT 19J
DURHAM, NC 27707-6218
Phone number: 805-455-4191
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