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Individual

LINDA FAY BATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
847 WEST CHILDS AVE, MERCED, CA 95340
(209) 383-7441
(209) 383-1643
Mailing address
737 WEST CHILDS AVENUE, MERCED, CA 95340-6805
(209) 383-1848
(209) 384-3966

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19109
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA19109
PA MEDICAL LICENSE
CA
Enumeration date
03/22/2007
Last updated
07/08/2007
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