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1134340821
STACY DE-LEVI
SAN DIEGO, CA
NPI
1134340821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA 17399)
Enumeration Date
2007-05-01
Last Update Date
2023-12-22
Business Address
Mrs. STACY DE-LEVI pa-c
1075 CAMINO DEL RIO S
SAN DIEGO, CA 92108-3538
Phone number: 619-881-4500
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Mailing Address
Mrs. STACY DE-LEVI pa-c
1075 CAMINO DEL RIO S
SAN DIEGO, CA 92108-3538
Phone number: 619-881-4500
Copy
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