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1588229926
ELISABETH KUSIAK
SAN DIEGO, CA
NPI
1588229926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2019-05-01
Last Update Date
2021-05-13
Business Address
ELISABETH KUSIAK PA-C
4501 MISSION BAY DR # 1C&D
SAN DIEGO, CA 92109-4923
Phone number: 423-314-1230
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Mailing Address
ELISABETH KUSIAK PA-C
PO BOX 82923
SAN DIEGO, CA 92138-2923
Phone number: 423-314-1230
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