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1417025636
TRACY L WICKWARE
SAN DIEGO, CA
NPI
1417025636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA17814)
Enumeration Date
2006-12-04
Last Update Date
2023-03-07
Business Address
-- TRACY L WICKWARE PA
3930 4TH AVE SUITE 200
SAN DIEGO, CA 92103-3119
Phone number: 619-297-9610
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Mailing Address
-- TRACY L WICKWARE PA
3930 4TH AVE SUITE 200
SAN DIEGO, CA 92103-3119
Phone number: 619-297-9610
Copy
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