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1467727651
ELISA R REA
SAN JOSE, CA
NPI
1467727651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA22083)
Enumeration Date
2012-03-20
Last Update Date
2018-01-03
Business Address
-- ELISA R REA PA-C
696 E SANTA CLARA ST SUITE 210
SAN JOSE, CA 95112-1911
Phone number: 408-295-9839
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Mailing Address
-- ELISA R REA PA-C
20700 LAKE CHABOT RD STE 107
CASTRO VALLEY, CA 94546-5402
Phone number: 408-295-9839
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