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1962563585
GARY BLAINE WALKER
WEST COVINA, CA
NPI
1962563585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA14463)
Enumeration Date
2006-12-13
Last Update Date
2010-03-03
Business Address
-- GARY BLAINE WALKER PA-C
421 E MERCED AVE
WEST COVINA, CA 91790-5023
Phone number: 626-918-1881
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Mailing Address
-- GARY BLAINE WALKER PA-C
280 TEAGUE DR
SAN DIMAS, CA 91773-3376
Phone number: 909-394-6160
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