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RUEL MARASIGAN AMADOR RPT

>> Physical Medicine & Rehabilitation >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1609358449

Individual Registrant:
 RUEL MARASIGAN AMADOR RPT
Gender: M
Sole Proprietor

Location and contact information for practice:
2062 SUGARBOWL WAY  LODI, CA 95242-4752 US
Tel: 209-200-6796  Fax: --

Contact information for business:
2062 SUGARBOWL WAY  LODI, CA 95242-4752 US
Tel: --  Fax: --

Registration Information:
NPI: 1609358449
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208100000XAllopathic & Osteopathic Physicians
Physical Medicine & Rehabilitation
CA28136

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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