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1366687709
LARISSA JEAN POLES
SAN DIEGO, CA
NPI
1366687709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 20111)
Enumeration Date
2008-12-15
Last Update Date
2010-03-18
Business Address
Mrs. LARISSA JEAN POLES PA-C
3930 4TH AVE
SAN DIEGO, CA 92103-3119
Phone number: 619-297-9610
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Mailing Address
Mrs. LARISSA JEAN POLES PA-C
579 VIA DEL CABALLO
SAN MARCOS, CA 92078-8911
Phone number: 760-212-2792
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