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1235475005
BLOSSOM DAWN VENCER AGUIRRE
SANTA MONICA, CA
NPI
1235475005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA22589)
Enumeration Date
2012-12-21
Last Update Date
2015-03-31
Business Address
Ms. BLOSSOM DAWN VENCER AGUIRRE MS, PA-C
1316 3RD STREET PROMENADE STE 201
SANTA MONICA, CA 90401-1382
Phone number: 800-567-5544
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Mailing Address
Ms. BLOSSOM DAWN VENCER AGUIRRE MS, PA-C
1316 3RD STREET PROMENADE STE 201
SANTA MONICA, CA 90401-1382
Phone number: 800-567-5544
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