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Individual

CASSANDRA CHRISTINE BUELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2488 N CALIFORNIA ST, STOCKTON, CA 95204-5508
(209) 948-3333
Mailing address
3014 MOJAVE DR, WEST SACRAMENTO, CA 95691-5247
(503) 807-9815

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 20798
CA
363AM0700X
Medical Physician Assistant
PA20798
CA

Other

Enumeration date
08/22/2011
Last updated
02/08/2014
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