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1407968324
KIRSTEN ALYSSA STATHES
REDLANDS, CA
NPI
1407968324
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Former Name
KRISTEN ALYSSA CLARK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA16025)
Enumeration Date
2006-08-31
Last Update Date
2009-06-04
Business Address
-- KIRSTEN ALYSSA STATHES P.A.-C
350 TERRACINA BLVD
REDLANDS, CA 92373-4850
Phone number: 909-335-5500
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Mailing Address
-- KIRSTEN ALYSSA STATHES P.A.-C
2100 POWELL ST STE 900
EMERYVILLE, CA 94608-1826
Phone number: 510-350-2600
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