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1063064483
ELYSIA TRUONG MCNULTY ALVA
SAN JOSE, CA
NPI
1063064483
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Former Name
ELYSIA TRUONG MCNULTY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-07-15
Last Update Date
2022-07-26
Business Address
ELYSIA TRUONG MCNULTY ALVA PA-C
260 INTERNATIONAL CIR
SAN JOSE, CA 95119-1130
Phone number: 408-972-3567
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Mailing Address
ELYSIA TRUONG MCNULTY ALVA PA-C
PO BOX 221
LOS GATOS, CA 95031-0221
Phone number: 408-348-9881
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