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1548994171
ELIZABETH WAGNER FULP
SAN DIEGO, CA
NPI
1548994171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA64929)
Enumeration Date
2022-07-11
Last Update Date
2024-11-04
Business Address
ELIZABETH WAGNER FULP PA
3020 CHILDRENS WAY
SAN DIEGO, CA 92123-4223
Phone number: 858-966-8800
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Mailing Address
ELIZABETH WAGNER FULP PA
3020 CHILDRENS WAY # MC5003
SAN DIEGO, CA 92123-4223
Phone number: 858-309-6300
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