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1891003943
ANASTASIA P DERTLIEVA-POPOVA
FOLSOM, CA
NPI
1891003943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA21114)
Enumeration Date
2010-09-22
Last Update Date
2010-09-22
Business Address
-- ANASTASIA P DERTLIEVA-POPOVA PA
2575 E BIDWELL ST SUITE 230
FOLSOM, CA 95630-6444
Phone number: 916-984-3899
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Mailing Address
-- ANASTASIA P DERTLIEVA-POPOVA PA
PO BOX 34120
RENO, NV 89533-4120
Phone number: 775-747-5050
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