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1033125661
SHAWN M. WAGSTAFF
SAN DIEGO, CA
NPI
1033125661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA17535)
Enumeration Date
2006-08-01
Last Update Date
2018-03-12
Business Address
SHAWN M. WAGSTAFF PA-C
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 619-471-0320
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Mailing Address
SHAWN M. WAGSTAFF PA-C
PO BOX 232410
SAN DIEGO, CA 92193-2410
Phone number:
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