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1447943667
CHARIS FASOLDT
SAN FRANCISCO, CA
NPI
1447943667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-06-01
Last Update Date
2023-06-01
Business Address
CHARIS FASOLDT PA
77 VAN NESS AVE APT 302
SAN FRANCISCO, CA 94102-6042
Phone number: 415-379-9015
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Mailing Address
CHARIS FASOLDT PA
147 MARLBOROUGH RD
ROCHESTER, NY 14619-1409
Phone number: 585-775-6378
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