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1891832242
BYRON FISK LAKE
GRASS VALLEY, CA
NPI
1891832242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G58831)
Enumeration Date
2007-02-01
Last Update Date
2014-02-20
Business Address
-- BYRON FISK LAKE M.D.
300 SIERRA COLLEGE DR STE 170
GRASS VALLEY, CA 95945-5083
Phone number: 530-273-4376
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Mailing Address
-- BYRON FISK LAKE M.D.
300 SIERRA COLLEGE DR STE 170
GRASS VALLEY, CA 95945-5083
Phone number: 530-273-4376
Copy
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