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1932350790
LUCIUS K. UPSHAW
SAN MATEO, CA
NPI
1932350790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA19952)
Enumeration Date
2008-10-09
Last Update Date
2008-10-09
Business Address
-- LUCIUS K. UPSHAW PA-C
50 S SAN MATEO DR SUITE 440
SAN MATEO, CA 94401-3857
Phone number: 650-558-0504
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Mailing Address
-- LUCIUS K. UPSHAW PA-C
50 S SAN MATEO DR SUITE 440
SAN MATEO, CA 94401-3857
Phone number: 650-558-0504
Copy
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