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1861895781
REUBEN SAN JUAN
FONTANA, CA
NPI
1861895781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 52028)
Enumeration Date
2014-10-06
Last Update Date
2014-11-24
Business Address
-- REUBEN SAN JUAN PA-C
7774 CHERRY AVE
FONTANA, CA 92336-4014
Phone number: 909-355-1296
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Mailing Address
-- REUBEN SAN JUAN PA-C
7774 CHERRY AVE
FONTANA, CA 92336-4014
Phone number: 909-355-1296
Copy
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