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ANTHONEY JAWAUN PAULISICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
3425 N 1ST ST, FRESNO, CA 93726-6821
(559) 608-6581
Mailing address
3425 N 1ST ST, FRESNO, CA 93726-6821
(559) 608-6581

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
63692
CA

Other

Enumeration date
01/10/2020
Last updated
12/18/2023
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