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1457920985
JOSHUA CONSTANTINO MICALLEF
SANTA ROSA, CA
NPI
1457920985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 59988)
Enumeration Date
2021-06-19
Last Update Date
2022-11-09
Business Address
JOSHUA CONSTANTINO MICALLEF PA-C
1162 MONTGOMERY DR FL 2
SANTA ROSA, CA 95405-4802
Phone number: 707-890-4100
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Mailing Address
JOSHUA CONSTANTINO MICALLEF PA-C
48 ANTHONY CT
WINDSOR, CA 95492-8774
Phone number: 707-536-7515
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