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1376887976
MENA MESDAQ
LA JOLLA, CA
NPI
1376887976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 22646)
Enumeration Date
2012-11-20
Last Update Date
2012-11-20
Business Address
-- MENA MESDAQ PA
6515 LA JOLLA BLVD
LA JOLLA, CA 92037-6066
Phone number: 858-454-7157
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Mailing Address
-- MENA MESDAQ PA
127 ROSEBAY DR
ENCINITAS, CA 92024-3323
Phone number: 760-807-3583
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