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1326140914
LAUREL FACTOR
SAN DIEGO, CA
NPI
1326140914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA12319)
Enumeration Date
2006-09-02
Last Update Date
2019-10-22
Business Address
LAUREL FACTOR P.A.-C.
15004 INNOVATION DR
SAN DIEGO, CA 92128-3491
Phone number: 858-605-7171
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Mailing Address
LAUREL FACTOR P.A.-C.
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 92127-5705
Phone number: 858-605-7171
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