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1275140550
LISA LYNN PASSALACQUA
SANTA ANA, CA
NPI
1275140550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 58543)
Enumeration Date
2020-09-30
Last Update Date
2023-09-25
Business Address
LISA LYNN PASSALACQUA PA-C
210 N TUSTIN AVE
SANTA ANA, CA 92705-3807
Phone number: 888-959-5192
Copy
Mailing Address
LISA LYNN PASSALACQUA PA-C
210 N TUSTIN AVE
SANTA ANA, CA 92705-3807
Phone number: 888-959-5192
Copy
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