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1508172016
STEPHANIE E PONGRACZ
SANTA MONICA, CA
NPI
1508172016
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Former Name
STEPHANIE E WRIGHT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA PA20968)
Enumeration Date
2010-08-20
Last Update Date
2014-12-09
Business Address
-- STEPHANIE E PONGRACZ PA
2020 SANTA MONICA BLVD SUITE 400
SANTA MONICA, CA 90404-2023
Phone number: 310-928-2663
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Mailing Address
-- STEPHANIE E PONGRACZ PA
1658 CAMDEN AVE NO 105
LOS ANGELES, CA 90025-7548
Phone number: 805-403-3755
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