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Individual

SAMUEL ANDERS ACEBO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSN, CRNA

Contact information

Practice address
2767 OLIVE HWY, OROVILLE, CA 95966-6118
(530) 532-8472
Mailing address
PO BOX 5040, OROVILLE, CA 95966-0040

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000762
CA

Other

Enumeration date
08/26/2017
Last updated
08/26/2017
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