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1174154744
DIANA POTTERVELD
NEWPORT BEACH, CA
NPI
1174154744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA57772)
Enumeration Date
2020-01-31
Last Update Date
2020-02-04
Business Address
DIANA POTTERVELD PA-C
1441 AVOCADO AVE STE 503
NEWPORT BEACH, CA 92660-7706
Phone number: 949-718-9020
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Mailing Address
DIANA POTTERVELD PA-C
PO BOX 3699
NEWPORT BEACH, CA 92659-8699
Phone number: 657-241-3600
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