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Individual

ALEXANDER BLANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
481 PLUMAS BLVD, SUITE 104, YUBA CITY, CA 95991-5075
(530) 751-7201
(530) 751-4244
Mailing address
370 DEL NORTE AVE STE 201, YUBA CITY, CA 95991-4142
(530) 751-7201
(530) 751-4244

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
52237
CA

Other

Enumeration date
01/16/2015
Last updated
02/05/2015
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