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Individual

JAMES M MABRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
360 SIERRA COLLEGE DR STE 120, GRASS VALLEY, CA 95945-5088
(530) 274-6222
(530) 242-4846
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA22458
CA
363AS0400X
Surgical Physician Assistant
Primary
PA22458
CA

Other

Enumeration date
09/05/2012
Last updated
05/06/2026
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