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1588872089
CARRIE M CARRILLO
FULLERTON, CA
NPI
1588872089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA PA17561)
Enumeration Date
2007-05-18
Last Update Date
2021-10-20
Business Address
CARRIE M CARRILLO PA
2141 N HARBOR BLVD STE 35000
FULLERTON, CA 92835-3831
Phone number: 714-626-8630
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Mailing Address
CARRIE M CARRILLO PA
2141 N HARBOR BLVD STE 35000
FULLERTON, CA 92835-3831
Phone number: 714-626-8630
Copy
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