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1275192395
DANIELA IXMUCANE RODRIGUEZ-JAQUEZ
SAN LUIS OBISPO, CA
NPI
1275192395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 56719)
Enumeration Date
2019-06-12
Last Update Date
2024-05-14
Business Address
DANIELA IXMUCANE RODRIGUEZ-JAQUEZ PA-C
77 CASA ST
SAN LUIS OBISPO, CA 93405-5803
Phone number: 805-269-1500
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Mailing Address
DANIELA IXMUCANE RODRIGUEZ-JAQUEZ PA-C
2050 S BLOSSER RD
SANTA MARIA, CA 93458-7310
Phone number: 805-361-8030
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