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EMMANUEL OLIVA AGLUBAT NP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1750904751

Individual Registrant:
 EMMANUEL OLIVA AGLUBAT NP
Gender: M
Not Sole Proprietor

Location and contact information for practice:
9746 FOREST VIEW CT  ELK GROVE, CA 95757-2606 US
Tel: 916-391-8441  Fax: --

Contact information for business:
9746 FOREST VIEW CT  ELK GROVE, CA 95757-2606 US
Tel: 916-391-8441  Fax: --

Registration Information:
NPI: 1750904751
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CA95014593

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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