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1619169927
LEANN REBECCA EISENBISE
HAYWARD, CA
NPI
1619169927
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Former Name
LEANN REBECCA ROLSTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 19286)
Enumeration Date
2007-08-10
Last Update Date
2007-09-27
Business Address
Mrs. LEANN REBECCA EISENBISE P.A.
27200 CALAROGA AVE
HAYWARD, CA 94545-4339
Phone number: 510-264-4042
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Mailing Address
Mrs. LEANN REBECCA EISENBISE P.A.
27200 CALAROGA AVE
HAYWARD, CA 94545-4339
Phone number: 510-264-4042
Copy
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