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1083460992
ALYSSA EMILEE ODNEAL
SAN DIEGO, CA
NPI
1083460992
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Former Name
EMILEE ALYSSA JERNIGAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA65148)
Enumeration Date
2024-04-30
Last Update Date
2024-10-16
Business Address
ALYSSA EMILEE ODNEAL PA
3030 CHILDRENS WAY
SAN DIEGO, CA 92123-4232
Phone number: 858-309-7701
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Mailing Address
ALYSSA EMILEE ODNEAL PA
3020 CHILDRENS WAY # MC5003
SAN DIEGO, CA 92123-4223
Phone number: 858-309-6300
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