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1467596676
MICHELLE CORINA CORDOVA
SAN LUIS OBISPO, CA
NPI
1467596676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA17221)
Enumeration Date
2007-02-19
Last Update Date
2024-10-02
Business Address
MICHELLE CORINA CORDOVA PA
1551 BISHOP ST STE 230
SAN LUIS OBISPO, CA 93401-4661
Phone number: 805-434-5530
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Mailing Address
MICHELLE CORINA CORDOVA PA
1551 BISHOP ST STE 230
SAN LUIS OBISPO, CA 93401-4661
Phone number: 805-434-5530
Copy
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