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1043560915
KELLY J. PIAZZA
SANTA MARIA, CA
NPI
1043560915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 53315)
Enumeration Date
2012-09-18
Last Update Date
2018-03-29
Business Address
KELLY J. PIAZZA PA-C
1510 E MAIN ST STE 101
SANTA MARIA, CA 93454-4826
Phone number: 805-928-0610
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Mailing Address
KELLY J. PIAZZA PA-C
1510 E MAIN ST STE 101
SANTA MARIA, CA 93454-4826
Phone number: 805-928-0610
Copy
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