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1952811051
RICKEY LEE SOUTHWELL
REDDING, CA
NPI
1952811051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 54920)
Enumeration Date
2017-10-04
Last Update Date
2025-04-09
Business Address
MR. RICKEY LEE SOUTHWELL PA-C
1742 OREGON ST
REDDING, CA 96001-1717
Phone number: 530-646-7269
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Mailing Address
MR. RICKEY LEE SOUTHWELL PA-C
2400 WASHINGTON AVE STE 100
REDDING, CA 96001-2814
Phone number: 530-530-2267
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