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1063865061
NEENAH GRADE
SAN DIEGO, CA
NPI
1063865061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 53586)
Enumeration Date
2016-07-14
Last Update Date
2018-02-08
Business Address
NEENAH GRADE PA-C
4125 SORRENTO VALLEY BLVD STE A
SAN DIEGO, CA 92121-1423
Phone number: 858-794-9192
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Mailing Address
NEENAH GRADE PA-C
4125 SORRENTO VALLEY BLVD STE A
SAN DIEGO, CA 92121-1423
Phone number: 858-794-9192
Copy
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