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1366464471
COLLEEN GUSTAFSON ESPENSCHIED
SAN DIEGO, CA
NPI
1366464471
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Former Name
COLLEEN GUSTAFSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA PA17108)
Enumeration Date
2006-07-25
Last Update Date
2013-04-04
Business Address
-- COLLEEN GUSTAFSON ESPENSCHIED PA-C.
2017 1ST AVE
SAN DIEGO, CA 92101-2033
Phone number: 619-881-4577
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Mailing Address
-- COLLEEN GUSTAFSON ESPENSCHIED PA-C.
FILE 54433
LOS ANGELES, CA 90074-0001
Phone number:
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