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1164688529
JEANNINE SHIVELY
SAN DIEGO, CA
NPI
1164688529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 19841)
Enumeration Date
2008-08-05
Last Update Date
2008-08-05
Business Address
-- JEANNINE SHIVELY PA-C
6645 ALVARADO RD # 415
SAN DIEGO, CA 92120-5208
Phone number: 619-229-4941
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Mailing Address
-- JEANNINE SHIVELY PA-C
6645 ALVARADO RD # 415
SAN DIEGO, CA 92120-5208
Phone number: 619-229-4941
Copy
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