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1063829505
DANA ASHLI DERISSI
LA MESA, CA
NPI
1063829505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA51577)
Enumeration Date
2014-07-16
Last Update Date
2024-09-03
Business Address
DANA ASHLI DERISSI P.A.-C
5555 GROSSMONT CENTER DR
LA MESA, CA 91942-3019
Phone number: 619-740-4071
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Mailing Address
DANA ASHLI DERISSI P.A.-C
5555 GROSSMONT CENTER DR
LA MESA, CA 91942-3019
Phone number: 619-740-3838
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