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1568020428
ORIESA WIYONO OEIJ
SAN DIEGO, CA
NPI
1568020428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA56848)
Enumeration Date
2019-06-04
Last Update Date
2023-07-10
Business Address
ORIESA WIYONO OEIJ PA-C
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 800-926-8273
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Mailing Address
ORIESA WIYONO OEIJ PA-C
PO BOX 232410
SAN DIEGO, CA 92193-2410
Phone number:
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