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1164602793
AMITY HALL
STANFORD, CA
NPI
1164602793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA19463)
Enumeration Date
2007-11-12
Last Update Date
2010-04-15
Business Address
-- AMITY HALL PA
875 BLAKE WILBUR
STANFORD, CA 94305-5820
Phone number: 650-736-2066
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Mailing Address
-- AMITY HALL PA
875 BLAKE WILBUR DRIVE
STANFORD, CA 94305-5820
Phone number: 650-736-2066
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