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1184404261
COLLEEN ANN LY
SAN DIEGO, CA
NPI
1184404261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA63447)
Enumeration Date
2023-10-05
Last Update Date
2024-04-18
Business Address
COLLEEN ANN LY PA-C
4060 FOURTH AVE STE 700
SAN DIEGO, CA 92103-2121
Phone number: 619-299-8500
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Mailing Address
COLLEEN ANN LY PA-C
4060 FOURTH AVE STE 700
SAN DIEGO, CA 92103-2121
Phone number:
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