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1932285541
RONALD P MANDRELL
FAIRFIELD, CA
NPI
1932285541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA06795)
Enumeration Date
2006-10-27
Last Update Date
2016-05-23
Business Address
-- RONALD P MANDRELL PA
1234 EMPIRE ST
FAIRFIELD, CA 94533-5711
Phone number: 707-426-3911
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Mailing Address
-- RONALD P MANDRELL PA
PO BOX 255228
SACRAMENTO, CA 95865-5228
Phone number: 800-470-0071
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