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1366993362
VANESSA JULIE IGLESIAS MEHTA
LACEY, WA
NPI
1366993362
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Former Name
VANESSA JULIE IGLESIAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IL 085.005976)
Enumeration Date
2016-10-14
Last Update Date
2019-11-08
Business Address
VANESSA JULIE IGLESIAS MEHTA PA-C
5128 YELM HWY SE SUITE E
LACEY, WA 98503
Phone number: 708-652-2040
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Mailing Address
VANESSA JULIE IGLESIAS MEHTA PA-C
5128 YELM HWY SE SUITE E
LACEY, WA 98503
Phone number: 708-652-2040
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