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1326502162
PAIGE IELATI
LAGUNA NIGUEL, CA
NPI
1326502162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 56496)
Enumeration Date
2019-01-25
Last Update Date
2019-01-25
Business Address
PAIGE IELATI PA-C
30122 NIGUEL RD APT 126
LAGUNA NIGUEL, CA 92677-5209
Phone number: 530-403-7236
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Mailing Address
PAIGE IELATI PA-C
30122 NIGUEL RD APT 126
LAGUNA NIGUEL, CA 92677-5209
Phone number: 530-403-7236
Copy
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