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1619251543
DALEY CIE PORTILLO
SAN DIEGO, CA
NPI
1619251543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA21917)
Enumeration Date
2011-10-11
Last Update Date
2022-05-11
Business Address
DALEY CIE PORTILLO Physician Assistant
9685 VIA EXCELENCIA
SAN DIEGO, CA 92126-7500
Phone number: 888-627-9747
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Mailing Address
DALEY CIE PORTILLO Physician Assistant
182 S AVENUE 53
LOS ANGELES, CA 90042-4508
Phone number: 641-781-1283
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