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Individual

MR. ADAMU ALHAJI TAHIRU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
4343 YAQUI PASS ROAD, BORREGO SPRINGS, CA 92004
(760) 767-5051
(760) 767-4552
Mailing address
4343 YAQUI PASS ROAD, BORREGO SPRINGS, CA 92004
(760) 767-5051
(760) 767-4552

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14686
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA14686
CALIFORNIA LICENSE NUMBER
CA
Enumeration date
02/04/2008
Last updated
02/04/2008
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